Healthcare Provider Details

I. General information

NPI: 1164179529
Provider Name (Legal Business Name): EMH DUPAGE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2022
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5151 MOCHEL DR STE 304
DOWNERS GROVE IL
60515-5078
US

IV. Provider business mailing address

5151 MOCHEL DR STE 304
DOWNERS GROVE IL
60515-5078
US

V. Phone/Fax

Practice location:
  • Phone: 630-791-0555
  • Fax:
Mailing address:
  • Phone: 630-404-3348
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: EMILY E WEBER
Title or Position: OWNER
Credential: LCSW
Phone: 630-404-3348