Healthcare Provider Details

I. General information

NPI: 1255198271
Provider Name (Legal Business Name): EMK SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2024
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16649 OAK PARK AVE
TINLEY PARK IL
60477-1842
US

IV. Provider business mailing address

16649 OAK PARK AVE
TINLEY PARK IL
60477-1842
US

V. Phone/Fax

Practice location:
  • Phone: 708-529-5579
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: ERICA MINNION-KLYCE
Title or Position: NURSE PRACTITIONER
Credential:
Phone: 708-529-5579