Hallow Health and Psychiatric Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

HALLOW HEALTH AND PSYCHIATRIC SERVICES LLC

Practice address

305 N Vine St Unit 100a
New Lenox, IL 60451-1652

Phone

(815) 435-4055

NPI assigned

Feb 10, 2025

Last updated

Nov 26, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chibuzo Lasisi, DNPNPI 1013661859

Title

Owner

Phone

(815) 435-4055

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chibuzo Lasisi

  • Psychiatric/Mental Health Nurse Practitioner
  • New Lenox, IL
  • NPI 1013661859
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764115200000",
    "number": "1427863307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4749 LINCOLN MALL DR STE 202H",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604433826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N VINE ST UNIT 100A",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511652",
            "telephone_number": "815-435-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALLOW HEALTH AND PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A",
        "authorized_official_last_name": "LASISI",
        "authorized_official_first_name": "CHIBUZO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-435-4055",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina M Hack, LCSW
• Christopher Lee Hack, ATC
• Cassandra Lan Haddon
• Mazen Hadid, M.D
• Brooke Marie Hagadus
• Noura Hamoui, PHARMD
• Julie Hannigan
• Dawn Aurora Hanzie
• David Harezlak, DPT
• Charles R Harris, MD

• Psychiatric/Mental Health Nurse Practitioner in New Lenox, IL
• Providers in New Lenox, 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 Nov 26, 2025; 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.