Individual provider Active NPI

Emmanuel Bentil Ofori Danso

  • Psychiatric/Mental Health Nurse Practitioner
  • Huntley, IL
National Provider Identifier
1376299933
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209024826 Issued in IL
Practice address
10133 Compton Dr
Huntley, IL 60142-2344
Phone
(773) 759-7390
NPI assigned
Feb 23, 2022
Last updated
Jul 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209024826 IL Primary

Addresses

Primary practice location

10133 Compton Dr
Huntley, IL 60142-2344

Mailing address

1603 N Orchard St Apt 108
Chicago, IL 60614-5491
Phone (773) 759-7390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220718003727 IL Practitioner - Nurse Practitioner 3072994383 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Practice Medical Group LLCGroup PAC ID 2769885300, 5 clinicians
Rockford Psychiatric Medical Services SCGroup PAC ID 6901089515, 154 clinicians

Practice addresses (Care Compare)

1500 Waukegan Rd
Suite 213
Glenview, IL 60025-2165
Phone (630) 656-4307

47 W Acorn LN
Lake in the Hills, IL 60156-4804
Phone (847) 447-6611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Clinical LLC Psychiatric/Mental Health CurrentSince Nov 17, 2022 Accepting new patients
Advanced Practice Medical Group LLC Psychiatric/Mental Health CurrentSince Oct 15, 2022 Accepting new patients
Paragon Clinical Midwest, LLC CurrentSince Jan 1, 2024 Accepting new patients
Rockford Psychiatric Medical Services, S.C. CurrentSince Feb 13, 2023 Accepting new patients
Emmanus Wellness Psychiatric/Mental Health Past Accepting new patients

Locations

1333 Burr Ridge Pkwy
Ste 200
Burr Ridge, IL 60527
Phone (630) 308-8706

1500 Waukegan Rd
Ste 213
Glenview, IL 60025
Phone (630) 656-4307

47 W Acorn Ln
Lake in the Hills, IL 60156
Phone (847) 447-6611

1639 N Alpine Rd
Ste 260
Rockford, IL 61107
Phone (815) 395-1500

2280 Hicks Rd
Ste 508
Rolling Meadows, IL 60008
Phone (630) 412-0822

Interoperability endpoints

  • Direct secure messaging: emmanuel.ofori-danso.1@25899.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1376299933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 N ORCHARD ST APT 108",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145491",
            "telephone_number": "773-759-7390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10133 COMPTON DR",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601422344",
            "telephone_number": "773-759-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFORI DANSO",
        "first_name": "EMMANUEL",
        "middle_name": "BENTIL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-23",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209024826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntley, IL

Sources for this page

Verify at the official NPI Registry.