MEDICARE: EMPOWER SOULS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1427886746
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMPOWER SOULS LLC

Provider Business Mailing Address
First Line	:	2249 N SPRINGFIELD AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-2217
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2249 N SPRINGFIELD AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-2217
Country	:	US
Telephone Number	:	773-318-7872
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ACES RODRIGUEZ
Credential	:	LCPC
Telephone Number	:	773-318-7872

Provider Enumeration Date	:	07/26/2024
Last Update Date	:	12/01/2025

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Directions to “EMPOWER SOULS LLC ” Practice Location

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