Organization
LUNA MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANNE HELEN LUH (FOUNDER)
(800) 380-4339
Entity
Organization
Contact information
Practice address
4397 N ELSTON AVE, CHICAGO, IL 60641-2147
(800) 380-4339
(888) 696-0299
Mailing address
4397 N ELSTON AVE, CHICAGO, IL 60641-2147
(800) 380-4339
(888) 696-0299
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
203000472
IL
332BC3200X
Customized Equipment (DME)
203000472
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01623767
BCBS IL
IL
01
—
1024415
UHC
IL
Enumeration date
01/25/2007
Last updated
02/11/2025
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