Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chibuzo Lasisi

Individual provider Family Nurse Practitioner · NPI 1013661859

Chibuzo Lasisi is a Nurse Practitioner in New Lenox, Illinois. Qualified in 2021, 5 years ago. Practices with Will County Community Health Center, a 19-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
5
Licensed in
IL
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

305 N Vine St Unit 100A
New Lenox, IL 60451-1652
Phone: (815) 435-4055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 277004019 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 277004019 (IL)

Record details

NPI number1013661859
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 10, 2022
Last updated in NPPESMarch 21, 2026
Certification dateMarch 21, 2026
Mailing address4749 Lincoln Mall Dr Ste 202h, Matteson, IL 60443-3826

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Will County Community Health Center — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in New Lenox