Provider Demographics
NPI:1063851442
Name:NAGI, LILLIAN S (NP)
Entity type:Individual
Prefix:
First Name:LILLIAN
Middle Name:S
Last Name:NAGI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 MERCHANDISE MART PLZ STE 1230
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60654-4342
Mailing Address - Country:US
Mailing Address - Phone:800-411-6768
Mailing Address - Fax:
Practice Address - Street 1:201 HARTNELL AVE
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-1843
Practice Address - Country:US
Practice Address - Phone:800-411-6768
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-19
Last Update Date:2025-07-18
Deactivation Date:2023-05-24
Deactivation Code:
Reactivation Date:2023-06-09
Provider Licenses
StateLicense IDTaxonomies
OHCOA 14551 NP363LF0000X
CA95006589363LP0808X, 363LF0000X
OH14551363LP0808X
OR202001062363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health