Individual provider Active NPI

Oluyemi Elizabeth Lasaki, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Frankfort, IL
National Provider Identifier
1467295287
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209.029884 Issued in IL
Practice address
20855 S Lagrange Rd Ste 205
Frankfort, IL 60423-2043
Phone
(773) 985-3539
Fax
(773) 825-8411
NPI assigned
Jun 18, 2024
Last updated
Jan 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209.029884 IL Primary

Addresses

Primary practice location

20855 S Lagrange Rd Ste 205
Frankfort, IL 60423-2043

Mailing address

20855 S Lagrange Rd Ste 205
Frankfort, IL 60423-2043
Phone (773) 985-3539

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241119002674 IL Practitioner - Nurse Practitioner 3375078058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

24047 W Lockport St
Suite 201D
Plainfield, IL 60544-1680

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.029884ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Psychiatry LLC CurrentSince Sep 3, 2025 Accepting new patients
Beth Psychiatry LLC Psychiatric/Mental Health CurrentSince Jun 23, 2024 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Nov 22, 2024 Accepting new patients

Locations

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

20855 S La Grange Rd
Ste 205
Frankfort, IL 60423
Phone (773) 782-7609

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1467295287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20855 S LAGRANGE RD STE 205",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604232043",
            "telephone_number": "773-985-3539",
            "fax_number": "773-825-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20855 S LAGRANGE RD STE 205",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604232043",
            "telephone_number": "773-985-3539",
            "fax_number": "773-825-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASAKI",
        "first_name": "OLUYEMI",
        "middle_name": "ELIZABETH",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-18",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.029884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

Verify at the official NPI Registry.