Healthcare Provider Details

I. General information

NPI: 1750089124
Provider Name (Legal Business Name): LASHAWN LYNETTE BROWNLEE APRN, AGNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/15/2023
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 TOWER CT STE 210
GURNEE IL
60031-3355
US

IV. Provider business mailing address

15 TOWER CT STE 210
GURNEE IL
60031-3355
US

V. Phone/Fax

Practice location:
  • Phone: 847-623-8818
  • Fax:
Mailing address:
  • Phone: 847-623-8818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041.441546
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number209.027230
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: