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Organization
HALLOW HEALTH AND PSYCHIATRIC SERVICES LLC
Active
Organization
HALLOW HEALTH AND PSYCHIATRIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIBUZO LASISI DNP (OWNER)
(815) 435-4055
Entity
Organization
Contact information
Practice address
305 N VINE ST UNIT 100A, NEW LENOX, IL 60451-1652
(815) 435-4055
Mailing address
4749 LINCOLN MALL DR STE 202H, MATTESON, IL 60443-3826
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/10/2025
Last updated
11/26/2025
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