Healthcare Provider Details

I. General information

NPI: 1265378426
Provider Name (Legal Business Name): LEMI LILO PSYCHIATRIC NURSING APC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2112 CAMINO LARGO DR
CHINO HILLS CA
91709-1039
US

IV. Provider business mailing address

2112 CAMINO LARGO DR
CHINO HILLS CA
91709-1039
US

V. Phone/Fax

Practice location:
  • Phone: 312-838-8231
  • Fax:
Mailing address:
  • Phone: 312-838-8231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: LEMI LILO
Title or Position: CEO
Credential: NP
Phone: 312-838-8231