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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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