Organization
LUNA MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIANNE H. LUH (PRESIDENT)
(800) 380-4339
Entity
Organization
Contact information
Practice address
800 S WELLS ST, CHICAGO, IL 60607-4529
(800) 380-4339
Mailing address
49 E ELM ST, CHICAGO, IL 60611-1015
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01623767
BCBS PROVIDER I.D.
IL
01
—
1024415
UNITED HEALTHCARE I.D.
FL
01
—
1024415
UNITED HEALTHCARE I.D.
GA
01
—
1024415
UNITED HEALTHCARE I.D.
IL
01
—
1024415
UNITED HEALTHCARE I.D.
IN
01
—
1024415
UNITED HEALTHCARE I.D.
KY
01
—
1024415
UNITED HEALTHCARE I.D.
VA
Enumeration date
04/10/2006
Last updated
08/22/2020
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