Emessa Consult LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

EMESSA CONSULT LLC

Practice address

4836 Main St
Skokie, IL 60077-2594

Phone

(360) 492-4936

NPI assigned

Sep 13, 2022

Organization subpart

No

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

Authorized official

Name

Ahmed RadwanNPI 1720609373

Title

Owner

Phone

(630) 242-0450

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Ahmed Radwan, MD

  • Psychiatry Physician
  • Springfield, IL
  • NPI 1720609373
  NPD Authorized official

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1629790043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4836 MAIN ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772594",
            "telephone_number": "360-492-4936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4836 MAIN ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772594",
            "telephone_number": "360-492-4936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMESSA CONSULT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "RADWAN",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-242-0450"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Eloge, MD
• Mary Elston, LPC
• Lev Elterman, M.D.
• Rita I Elue, APN-CNP
• Courtney L. Emery, MA
• Empathy Bloom Home Care LLC
• Endale Mekonen MD PC
• Endale T Mekonen MD PC
• Endeavor Health Clinical Operations
• Endeavor Health Clinical Operations

• Multi-Specialty Clinic/Center in Skokie, IL
• Providers in Skokie, IL by specialty
• Multi-Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.