Organization
BETHEL PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OLUYEMI LASAKI PMHNP (OWNER)
(815) 710-0387
Entity
Organization
Contact information
Practice address
24047 W LOCKPORT ST STE D, PLAINFIELD, IL 60544-2205
(815) 710-0387
Mailing address
24047 W LOCKPORT ST STE D, PLAINFIELD, IL 60544-2205
(815) 710-0387
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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