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Contact Information

DOROTHY M AKAEZE
100 W 162ND ST
SOUTH HOLLAND, IL60473-2003
 Phone: 708-730-2200
 Fax: 708-210-0625
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for DOROTHY M AKAEZE · (Female)

NPI Number 1649641747
Status Active
Credentials
Entity Individual
Enumeration date 10/14/2015
Last updated 04/28/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 209013426
  • IN License # 71009004A
Hospital affiliation(s)
  • INGALLS MEMORIAL HOSPITAL - (Acute Care)
    ONE INGALLS DRIVE
    HARVEY, IL 60426
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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