Healthcare Provider Details

I. General information

NPI: 1255240263
Provider Name (Legal Business Name): EMILY ENRIQUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

134 NORTH LASALLE ST SUITE 400
CHICAGO IL
60602
US

IV. Provider business mailing address

134 NORTH LASALLE ST 400 STE
CHICAGO IL
60602
US

V. Phone/Fax

Practice location:
  • Phone: 847-493-3700
  • Fax:
Mailing address:
  • Phone: 847-493-3700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: