Healthcare Provider Details

I. General information

NPI: 1447042213
Provider Name (Legal Business Name): EMBRACE PSYCHIATRY & WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3020 WOODCREEK DR STE A2
DOWNERS GROVE IL
60515-5416
US

IV. Provider business mailing address

200 27TH AVE
BELLWOOD IL
60104-1257
US

V. Phone/Fax

Practice location:
  • Phone: 630-742-7900
  • Fax: 630-982-1630
Mailing address:
  • Phone: 630-742-7900
  • Fax: 630-982-1630

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: WHITNEY LIPSCOMB
Title or Position: CEO
Credential:
Phone: 630-742-7900