Organization
SEVEN LIGHTS PSYCHIATRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMIN S FORD APRN (CLINICAL DIRECTOR)
(708) 769-9632
Entity
Organization
Contact information
Practice address
23039 EASTWIND DRIVE, RICHTON PARK, IL 60471-2567
(708) 769-9632
Mailing address
19710 GOVERNORS HWY STE 5, FLOSSMOOR, IL 60422-2081
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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