Individual provider · NPI-1

Antonique Akua, CLC

Doula · Chicago, IL

NPI number1346843570
StatusActive
Last updated in NPPESNov 19, 2020

Details

NPI
1346843570
Entity type
Individual (NPI-1)
Name
Antonique Akua
Credential
CLC
Sex
Female
Sole proprietor
No
Enumeration date
Nov 19, 2020
Certification date
Nov 19, 2020
Last updated
Nov 19, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374J00000X Doula––Yes
174N00000X Lactation Consultant, Non-RN––

Practice location

9811 S Michigan Ave Apt 1
Chicago, IL 60628-1447

Phone 773-964-6558

Mailing address

9811 S Michigan Ave Apt 1
Chicago, IL 60628-1447

Phone 773-964-6558

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