DYNASTY 57 BEHAVIORAL HEALTH LLC
NPI 1689538563
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL

Active since December 15, 2025
2206 W GREENLEAF AVE, CHICAGO, IL 60645(773) 234-1067 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dynasty 57 Behavioral Health Llc NPPES

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

DYNASTY 57 BEHAVIORAL HEALTH LLC (NPI 1689538563) is a healthcare organization registered as a psychiatric/mental health in Chicago, Illinois and active in the NPI registry since December 2025. The organization lists Modupe Ojuetimi Olukeye, Owner, as its authorized official.

NPPES Registry Identity

NPI1689538563
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameDYNASTY 57 BEHAVIORAL HEALTH LLC
Location Address2206 W GREENLEAF AVEChicago, IL 60645-4804
Mailing Address2206 W Greenleaf AveChicago, IL 60645-4804 · (773) 234-1067
Organization SubpartNo
Authorized OfficialModupe Ojuetimi OlukeyeOwner · (773) 234-1067
Enumeration DateDecember 15, 2025
Last NPPES UpdateDecember 16, 2025
NPPES CertifiedDecember 16, 2025
NPI 1689538563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
2206 W GREENLEAF AVE, Chicago, IL 60645

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

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 (Psychiatric/Mental Health)
2206 W GREENLEAF AVE
CHICAGO, IL 60645

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 Dynasty 57 Behavioral Health LLC's NPI number?

The NPI number for Dynasty 57 Behavioral Health LLC is 1689538563. It was assigned to this organization in the NPPES registry on December 15, 2025.

Where is Dynasty 57 Behavioral Health LLC located?

Dynasty 57 Behavioral Health LLC is located at 2206 W Greenleaf Ave, Chicago, IL 60645. The listed phone number is (773) 234-1067.

What is Dynasty 57 Behavioral Health LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Dynasty 57 Behavioral Health LLC was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.