Provider Demographics
NPI:1174116305
Name:AUJAH WAY LLC
Entity type:Organization
Organization Name:AUJAH WAY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LEAD PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAMEKA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, PMHNP, FNP
Authorized Official - Phone:773-299-1515
Mailing Address - Street 1:433 W HARRISON ST # 803103
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60699-3916
Mailing Address - Country:US
Mailing Address - Phone:773-299-1515
Mailing Address - Fax:347-587-8363
Practice Address - Street 1:433 W HARRISON ST # 803103
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60699-3916
Practice Address - Country:US
Practice Address - Phone:773-299-1515
Practice Address - Fax:347-587-8363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-18
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty