Healthcare Provider Details

I. General information

NPI: 1225959588
Provider Name (Legal Business Name): EMERY MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5600 N RIVER RD STE 878
ROSEMONT IL
60018
US

IV. Provider business mailing address

5600 N RIVER RD STE 878
ROSEMONT IL
60018-6705
US

V. Phone/Fax

Practice location:
  • Phone: 312-857-9750
  • Fax: 847-699-1484
Mailing address:
  • Phone:
  • Fax: 847-699-1484

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ERNEST JOHN EMERY
Title or Position: SOLE PROPRIETOR
Credential: APRN
Phone: 312-857-9750