MEDICARE: FINDING INNER PEACE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1720710791	OTHER	IL	PRIVATE INSURANCE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477384006
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FINDING INNER PEACE LLC

Provider Business Mailing Address
First Line	:	11900 SOUTHWEST HWY STE 204
Second Line	:
City	:	PALOS PARK
State	:	IL
Zip	:	60464-1307
Country	:	US
Telephone Number	:	773-294-3350
Fax Number	:	773-261-8553

Provider Business Practice Location Address
First Line	:	11900 SOUTHWEST HWY STE 204
Second Line	:
City	:	PALOS PARK
State	:	IL
Zip	:	60464-1307
Country	:	US
Telephone Number	:	773-294-3350
Fax Number	:	773-261-8553

Authorized Official
Title or Position	:	CEO
Name	:	SHAKITA JOHNSON
Credential	:	NP
Telephone Number	:	773-294-3350

Provider Enumeration Date	:	08/14/2024
Last Update Date	:	09/23/2025

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