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Organization

SOULU

Active
Other names
Upward Community
Organization subpart
No

Provider details

NPI number
Authorized official
AIMEE B. SHEMANO-KRUPP (DIRECTOR OF OPERATIONS)
(773) 478-6000
Entity
Organization

Contact information

Practice address
7120 N RIDGEWAY AVE, LINCOLNWOOD, IL 60712-2622
(773) 478-6000
(773) 478-6516
Mailing address
3557 W PETERSON AVE STE 122, CHICAGO, IL 60659-3218
(773) 478-6000
(773) 478-6516

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Enumeration date
06/26/2025
Last updated
08/12/2025
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