RADIANCE HEALTHCARE SERVICES LLC
NPI 1093582892
Nurse Practitioner - Psychiatric/Mental Health in Frankfort, IL

Active since December 11, 2023
20550 S LAGRANGE RD STE 3, FRANKFORT, IL 60423(312) 878-5588(312) 900-9373 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 14, 2024, Dec 11, 2023 (2 updates tracked since 2023).

About Radiance Healthcare Services Llc NPPES

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

RADIANCE HEALTHCARE SERVICES LLC (NPI 1093582892) is a healthcare organization registered as a psychiatric/mental health in Frankfort, Illinois and active in the NPI registry since December 2023. The organization maintains a secondary practice location in Chicago and lists Idowu Olugbenga Oshokoya, Executive Manager, as its authorized official.

NPPES Registry Identity

NPI1093582892
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameRADIANCE HEALTHCARE SERVICES LLC
Location Address20550 S LAGRANGE RD STE 3Frankfort, IL 60423-1811
Mailing Address20550 S Lagrange Rd Ste 3Frankfort, IL 60423-1811 · (312) 878-5588 · Fax (312) 900-9373
Fax(312) 900-9373
Organization SubpartNo
Authorized OfficialIdowu Olugbenga OshokoyaExecutive Manager · (312) 878-5588
Enumeration DateDecember 11, 2023
Last NPPES UpdateAugust 26, 20242 updates tracked since enumeration
NPPES CertifiedAugust 26, 2024
✔ NPI 1093582892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
20550 S LAGRANGE RD STE 3, Frankfort, IL 60423

Secondary Practice Location 1

Location 1100 S State St Ste 402Chicago, IL 60603-5513 · Phone (855) 686-9444 · Fax (312) 900-9373

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Radiance Healthcare Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Radiance Healthcare Services LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1881467447
20550 S LAGRANGE RD STE 3
Frankfort, IL 60423
(312) 878-5588
✔ PECOS2.6 mi
Nurse Practitioner
NPI 1164182150
20 BRIARCLIFF LN
Bourbonnais, IL 60914
(708) 785-7475
✔ PECOS✔ Accepts Medicare25 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Radiance Healthcare Services LLC's NPI number?

The NPI number for Radiance Healthcare Services LLC is 1093582892. It was assigned to this organization in the NPPES registry on December 11, 2023.

Where is Radiance Healthcare Services LLC located?

Radiance Healthcare Services LLC is located at 20550 S Lagrange Rd Ste 3, Frankfort, IL 60423. The listed phone number is (312) 878-5588.

What is Radiance Healthcare Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Radiance Healthcare Services LLC enrolled in Medicare?

Yes. Radiance Healthcare Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Radiance Healthcare Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Radiance Healthcare Services LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Radiance Healthcare Services LLC was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.