NPIMap

Organization Active NPI

Soulu

  • Adolescent and Children Mental Health Clinic/Center
  • Lincolnwood, IL
National Provider Identifier
1538057609
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
SOULU
Practice address
7120 N Ridgeway Ave
Lincolnwood, IL 60712-2622
Phone
(773) 478-6000
Fax
(773) 478-6516
NPI assigned
Jun 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Authorized official

Name
Aimee B. Shemano-Krupp
Title
Director of Operations
Phone
(773) 478-6000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

7120 N Ridgeway Ave
Lincolnwood, IL 60712-2622

Mailing address

3557 W Peterson Ave Ste 122
Chicago, IL 60659-3218
Phone (773) 478-6000

Other names 1

  • Upward Community Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Madraigos Midwest2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7120 N Ridgeway Ave
Lincolnwood, IL 60712
Phone (773) 478-6000

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1538057609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3557 W PETERSON AVE STE 122",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593218",
            "telephone_number": "773-478-6000",
            "fax_number": "773-478-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 N RIDGEWAY AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122622",
            "telephone_number": "773-478-6000",
            "fax_number": "773-478-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULU",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "SHEMANO-KRUPP",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "773-478-6000"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upward Community",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Upward Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincolnwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.