FRONTIER HEALTHCARE SYSTEMS OF ILLINOIS LLC
NPI 1053772020
Nurse Practitioner - Family in Olympia Fields, IL

Active since March 17, 2016
20280 GOVERNORS HWY STE 102, OLYMPIA FIELDS, IL 60461(708) 234-0388(708) 234-0394 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 21, 2026, Nov 9, 2023, May 1, 2023 and 6 more (9 updates tracked since 2016).

About Frontier Healthcare Systems Of Illinois Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRONTIER HEALTHCARE SYSTEMS OF ILLINOIS LLC (NPI 1053772020) is a healthcare organization registered as a family in Olympia Fields, Illinois and active in the NPI registry since March 2016. The organization lists Letasha Lewis, Owner, as its authorized official.

NPPES Registry Identity

NPI1053772020
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameFRONTIER HEALTHCARE SYSTEMS OF ILLINOIS LLC
Location Address20280 GOVERNORS HWY STE 102Olympia Fields, IL 60461-1068
Mailing Address900 Ogden Ave # 335Downers Grove, IL 60515-2829 · (708) 234-0388 · Fax (708) 234-0394
Fax(708) 234-0394
Organization SubpartNo
Authorized OfficialLetasha LewisOwner · (901) 283-4011
Enumeration DateMarch 17, 2016
Last NPPES UpdateApril 21, 20269 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
NPI 1053772020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedClinic/Center · PainTaxonomy 261QP3300X
20280 GOVERNORS HWY STE 102, Olympia Fields, IL 60461

Other Identifiers 1

Medicaid277001315IL

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
20280 GOVERNORS HWY STE 102
OLYMPIA FIELDS, IL 60461

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Frontier Healthcare Systems Of Illinois LLC's NPI number?

The NPI number for Frontier Healthcare Systems Of Illinois LLC is 1053772020. It was assigned to this organization in the NPPES registry on March 17, 2016.

Where is Frontier Healthcare Systems Of Illinois LLC located?

Frontier Healthcare Systems Of Illinois LLC is located at 20280 Governors Hwy Ste 102, Olympia Fields, IL 60461. The listed phone number is (708) 234-0388.

What is Frontier Healthcare Systems Of Illinois LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Frontier Healthcare Systems Of Illinois LLC was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.