| Soulu | |
|
7120 N Ridgeway Ave Lincolnwood IL 60712-2622 | |
| (773) 478-6000 | |
| (773) 478-6516 |
| Full Name | Soulu |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 7120 N Ridgeway Ave, Lincolnwood, Illinois |
| Authorized Official Name and Position | Aimee B. Shemano-krupp (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 7734786000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soulu 3557 W Peterson Ave Ste 122 Chicago IL 60659-3218 Ph: (773) 478-6000 | Soulu 7120 N Ridgeway Ave Lincolnwood IL 60712-2622 Ph: (773) 478-6000 |
| NPI Number | 1538057609 |
|---|---|
| Provider Enumeration Date | 06/26/2025 |
| Last Update Date | 08/12/2025 |
| Certification Date | 08/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538057609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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