Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GIFTY AGYEMANG
NPI 1487317962
Nurse Practitioner - Psychiatric/Mental Health in Bolingbrook, IL

Active since October 20, 2021
440 W BOUGHTON RD STE 103, BOLINGBROOK, IL 60440(630) 405-7822 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 30, 2026, Oct 20, 2021 (2 updates tracked since 2021).

About Gifty Agyemang NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GIFTY AGYEMANG (NPI 1487317962) is an individual psychiatric/mental health provider in Bolingbrook, Illinois, licensed in Illinois (209.036670) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1487317962
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameGIFTY AGYEMANG
Location Address440 W BOUGHTON RD STE 103Bolingbrook, IL 60440-1400
Mailing Address244 E Savannah DrRomeoville, IL 60446-4126 · (630) 589-7628
Sole ProprietorYes
Enumeration DateOctober 20, 2021
Last NPPES UpdateSeptember 30, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2026
✔ NPI 1487317962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IL · 209.036670
Also ListedRegistered NurseTaxonomy 163W00000X · License 041479781 (IL)
440 W BOUGHTON RD STE 103, Bolingbrook, IL 60440

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
440 W BOUGHTON RD STE 103
BOLINGBROOK, IL 60440
Counselor (Professional)
440 W BOUGHTON RD STE 103
BOLINGBROOK, IL 60440

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gifty Agyemang's NPI number?

The NPI number for Gifty Agyemang is 1487317962. It was assigned to this individual provider in the NPPES registry on October 20, 2021.

Where is Gifty Agyemang located?

Gifty Agyemang practices at 440 W Boughton Rd Ste 103, Bolingbrook, IL 60440. The listed phone number is (630) 405-7822.

What is Gifty Agyemang's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Gifty Agyemang was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.