Individual provider Active NPI

Jawan Lasley

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1871256669
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277002699 Issued in IL
Practice address
2600 S. Michigan Ave
LLD
Chicago, IL 60616
Phone
(773) 354-0415
NPI assigned
Oct 19, 2021
Last updated
May 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277002699 IL
Family Nurse Practitioner 363LF0000X 277002699 IL Primary

Addresses

Primary practice location

2600 S. Michigan Ave
LLD
Chicago, IL 60616

Mailing address

3753 S Cottage Grove Ave
Chicago, IL 60653-1662
Phone (312) 479-3038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, UT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220420001289 IL Practitioner - Nurse Practitioner 0547657686 Reassigns benefits to 7 organizations
I20240428000021 UT Practitioner - Nurse Practitioner 0547657686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Urgent Care Professionals PLLCGroup PAC ID 9830437946, 36 clinicians

Practice addresses (Care Compare)

17960 Halsted St
Homewood, IL 60430-2014
Phone (708) 922-0911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Physicians Care LLC CurrentSince Jun 1, 2022 Accepting new patients
Loyola University Medical Center CurrentSince Mar 28, 2022 Accepting new patients
Illinois Urgent Care Professionals PLLC CurrentSince Jan 1, 2026 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Aug 27, 2024 Accepting new patients
Loyola University Medical Center CurrentSince Mar 28, 2022 Accepting new patients
Loyola University Medical Center Current Accepting new patients
Signify Health, LLC CurrentSince Mar 13, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jul 14, 2023 Accepting new patients
Clark, Nelson, and Associates, Inc. Family CurrentSince Oct 6, 2025 Accepting new patients
Community Health Providers PLLC PastSince Jan 1, 2026 Accepting new patients
Iglow Aesthetics and Med SP Family Past Accepting new patients

Locations

1 Tiffany Pt
Ste 106
Bloomingdale, IL 60108
Phone (224) 653-9507

10834B S Doty Ave
Chicago, IL 60628
Phone (773) 995-9911

2600 S Michigan Ave
Chicago, IL 60616
Phone (312) 492-0025

2600 S Michigan Ave
Ste Lld
Chicago, IL 60616
Phone (312) 479-3038

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

7444 W Wilson Ave
Ste 102
Harwood Hts, IL 60706
Phone 2249996997101

17960 Halsted St
Homewood, IL 60430
Phone (708) 923-0911

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420

9980 S 300 W
Ste 200
Sandy, UT 84070
Phone (801) 285-7403

Interoperability endpoints

  • Direct secure messaging: jlasley150449@direct.luhs.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1871256669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3753 S COTTAGE GROVE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606531662",
            "telephone_number": "312-479-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S. MICHIGAN AVE",
            "address_2": "LLD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60616",
            "telephone_number": "773-354-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASLEY",
        "first_name": "JAWAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-19",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277002699",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277002699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.