Individual provider · Type 1 NPI

Chibuzo Lasisi

Psychiatric/Mental Health Nurse Practitioner · New Lenox, IL

NPI number 1013661859 Active

Practice location

305 N Vine St Unit 100A
New Lenox, IL 60451-1652

Call (815) 435-4055 Map

Mailing address

4749 Lincoln Mall Dr Ste 202H
Matteson, IL 60443-3826

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X277004019 (IL)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X277004019 (IL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1013661859

Chibuzo Lasisi's National Provider Identifier is 1013661859, issued on Feb 10, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in New Lenox, IL. The record was last updated on Mar 21, 2026.