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Organization
LUMINA WELLNESS PROFESSIONAL CORPORATION
Active
Organization
LUMINA WELLNESS PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASIRAT SULAIMAN (OWNER)
(773) 413-8533
Entity
Organization
Contact information
Practice address
20200 GOVERNORS DR. 3RD FLOOR SUITE 333, OLYMPIAN FIELD, IL 60461
(773) 413-8533
(773) 413-9577
Mailing address
5331 SOUTH INDIANA AVE UNIT 3, CHICAGO, IL 60615
(773) 413-8533
(773) 413-9577
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/11/2026
Last updated
07/08/2026
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