Healthcare Provider Details

I. General information

NPI: 1245113786
Provider Name (Legal Business Name): REASSURE HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2025
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25111 W WARREN AVE
LAKE VILLA IL
60046-9741
US

IV. Provider business mailing address

25111 W WARREN AVE
LAKE VILLA IL
60046-9741
US

V. Phone/Fax

Practice location:
  • Phone: 224-844-3763
  • Fax:
Mailing address:
  • Phone: 224-844-3763
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. ONYEISI STEPHEN OGBOMEH
Title or Position: PRESIDENT
Credential: DNP, APRN-FPA,FNP-BC
Phone: 773-791-2317