Healthcare Provider Details

I. General information

NPI: 1538676499
Provider Name (Legal Business Name): EMEM TOLULOPE WILLIAMS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2018
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 WARRENVILLE RD STE 300
LISLE IL
60532-4311
US

IV. Provider business mailing address

550 WARRENVILLE RD STE 300
LISLE IL
60532-4311
US

V. Phone/Fax

Practice location:
  • Phone: 855-493-5523
  • Fax:
Mailing address:
  • Phone: 855-493-5523
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number277.002915
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041424998
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: