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

Crystal A Lacy

Individual provider Family Nurse Practitioner · NPI 1194494823

Crystal A Lacy is a Nurse Practitioner in Willowbrook, Illinois. Qualified in 2020, 6 years ago. Practices with Yusuf Salah LLC, a 43-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

40 75th St
Willowbrook, IL 60527-2325
Phone: (630) 581-5372
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209023978 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209.023978 (IL)

Record details

NPI number1194494823
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 7, 2021
Last updated in NPPESNovember 12, 2021
Certification dateOctober 4, 2021
Mailing address40 75th St, Willowbrook, IL 60527-2325

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Yusuf Salah Llc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Willowbrook