Individual provider · Type 1 NPI

Gifty Agyemang

Psychiatric/Mental Health Nurse Practitioner · Bolingbrook, IL

NPI number 1487317962 Active

Practice location

440 W Boughton Rd Ste 103
Bolingbrook, IL 60440-1400

Call (630) 405-7822 Map

Mailing address

244 E Savannah Dr
Romeoville, IL 60446-4126

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X041479781 (IL)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X209.036670 (IL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1487317962

Gifty Agyemang's National Provider Identifier is 1487317962, issued on Oct 20, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Bolingbrook, IL. The record was last updated on Sep 30, 2026.