Radiance Healthcare Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

RADIANCE HEALTHCARE SERVICES LLC

Practice address

20550 S Lagrange Rd Ste 3
Frankfort, IL 60423-1811

Phone

(312) 878-5588

Fax

(312) 900-9373

NPI assigned

Dec 11, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Idowu Olugbenga Oshokoya, APRN, PMHNP-BC

Title

Executive Manager

Phone

(312) 878-5588

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Idowu O Oshokoya Fpa, Pmhnp-BC, FPA, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Frankfort, IL
  • NPI 1881467447
  Medicare reassignment NPD
• Omolara Aminat Oshokoya, APRN

  • Family Nurse Practitioner
  • Bourbonnais, IL
  • NPI 1164182150
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1093582892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20550 S LAGRANGE RD STE 3",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231811",
            "telephone_number": "312-878-5588",
            "fax_number": "312-900-9373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20550 S LAGRANGE RD STE 3",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231811",
            "telephone_number": "312-878-5588",
            "fax_number": "312-900-9373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 S State St Ste 402",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606035513",
            "country_code": "US",
            "telephone_number": "855-686-9444",
            "fax_number": "312-900-9373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RADIANCE HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-11",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "OSHOKOYA",
        "authorized_official_first_name": "IDOWU",
        "authorized_official_middle_name": "OLUGBENGA",
        "authorized_official_title_or_position": "EXECUTIVE MANAGER",
        "authorized_official_telephone_number": "312-878-5588",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn J Proctor, RBT-19-82835
• Professional Dental Specialties
• Kristina Marie Pyzik, OTR/L
• Erikka Quinn-Smith, MS, OTR/L
• Kiley Quinn, BCBA
• Erin Marie Ramos, OTR
• Nicole M Randick, LPC
• Jasmine Randle-Mayes, OTR/L
• Michael Ranzini, PHARMD
• Chrisitna M Reed, MA, LCPC

• Psychiatric/Mental Health Nurse Practitioner in Frankfort, IL
• Providers in Frankfort, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.