CHIBUZO LASISI NPI 1013661859

NPI Information

  • NPI: 1013661859
  • Provider Name: CHIBUZO LASISI
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 305 N VINE ST UNIT 100A
    NEW LENOX, IL
    ZIP 60451
  • Phone: (815) 435-4055

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NPI Details

Chibuzo Lasisi is a psychiatric/mental health nurse practitioner in New Lenox, IL with 5 years of experience. Chibuzo Lasisi NPI is 1013661859. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

305 N VINE ST UNIT 100A
NEW LENOX, IL
ZIP 60451-652
Phone: (815) 435-4055

The NPI 1013661859 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/10/2022 and was last updated on 11/26/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily277004019ILLINOISNo
2363LP0808XNurse PractitionerPsychiatric/Mental Health277004019ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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