Healthcare Provider Details

I. General information

NPI: 1821955022
Provider Name (Legal Business Name): EMPRI HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 DOUGLAS AVE STE 253
ELGIN IL
60120-5590
US

IV. Provider business mailing address

11 DOUGLAS AVE STE 253
ELGIN IL
60120-5590
US

V. Phone/Fax

Practice location:
  • Phone: 224-342-5417
  • Fax: 224-857-2573
Mailing address:
  • Phone: 224-342-5417
  • Fax: 224-857-2573

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CAROLINE ODIOR SHODUNOLA
Title or Position: OWNER
Credential: NURSE PRACTITIONER
Phone: 224-342-5417