Lawrence Edo Abah, APN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Aurora, IL
NPI 1306305115 · NPPES record last updated Mar 16, 2025
Key facts
- NPI
- 1306305115
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 209018813 (IL)
- Practice address
- 75 Executive Dr Ste 339
Aurora, IL 60504-8124 - Phone
- (773) 772-7858
- NPI assigned
- Mar 19, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Holistic Health and Behavioral Services Inc
Practice addresses (Care Compare)
7251 W Lake Mead Blvd
Suite 300
Las Vegas, NV 89128-8380
Phone (312) 973-2554
75 Executive Dr
Suite 447
Aurora, IL 60504-8112
Phone (312) 973-2554
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190405000294 | IL | Practitioner - Nurse Practitioner | 0143561803 | Reassigns benefits to 1 organization |
| I20240506000826 | NV | Practitioner - Nurse Practitioner | 0143561803 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perspective Behavioral and Pain Solutions LTD | Current |
Accepting new patients |
Locations
2720 S River Rd
Ste 246
Des Plaines, IL 60018
Phone (847) 306-7277
2720 S River Rd
Ste 130
Des Plaines, IL 60018
Phone (224) 470-6107
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209018813 | IL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209018813 | IL | Yes |
Addresses
Primary practice location
75 Executive Dr Ste 339
Aurora, IL 60504-8124
Mailing address
75 Executive Dr Ste 447
Aurora, IL 60504-8112
Phone (773) 772-7858
Other practice location 1
1601 S State St
Chicago, IL 60616-1478
Phone (312) 973-2554
Other providers in Aurora, IL
- A Generous Journey LLC
- A Touch of Ginger, LLC
- A&S Medical Group Limited
- Aaron Polsky LCSW, PLLC
- ABA Home Health Inc
- Rico Abaricia
- Stella B Abaricia
- Marcus Bruno Abate
- Huma Abbas
- Abd Diagnostics LLC
All providers in Aurora, IL · Psychiatric/Mental Health Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.