Organization
LUMIN PSYCHIATRY & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WESLEY GORDON PA-C (FOUNDER/PHYSICIAN ASSISTANT)
(303) 902-1536
Entity
Organization
Contact information
Practice address
4150 N KENMORE AVE APT 404, CHICAGO, IL 60613-5971
(303) 902-1536
Mailing address
4150 N KENMORE AVE APT 404, CHICAGO, IL 60613-5971
(303) 902-1536
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
03/04/2026
Last updated
04/20/2026
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