Active NPI
Fatai A Lawal, PMHNP
- Psychiatry Physician
- Chicago, IL
National Provider Identifier
1558219253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 209.034983
- Practice address
- 8835 S Clyde Ave
Chicago, IL 60617-2904 - Phone
- (773) 386-0552
- Fax
- (773) 386-0552
- NPI assigned
- Mar 18, 2026
- Last updated
- Mar 18, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 209.034983 | IL | Primary |
Addresses
Primary practice location
8835 S Clyde Ave
Chicago, IL 60617-2904
Mailing address
8835 S Clyde Ave
Chicago, IL 60617-2904
Phone (773) 386-0552
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.034983 | IL | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773792000000",
"number": "1558219253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8835 S CLYDE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606172904",
"telephone_number": "773-386-0552",
"fax_number": "773-386-0552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8835 S CLYDE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606172904",
"telephone_number": "773-386-0552",
"fax_number": "773-386-0552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWAL",
"first_name": "FATAI",
"middle_name": "A",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-03-18",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "209.034983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.