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Organization

ILLUMINATION HEALTH, LLC

Active
Parent organization
ST. LUKES MEDICAL GROUP
Organization subpart
Yes

Provider details

NPI number
Legal business name
ST. LUKES MEDICAL GROUP
Authorized official
JAMES SNIDER (V.P. PHYSICIAN NETWORK)
(636) 685-7804
Entity
Organization

Contact information

Practice address
2355 DOUGHERTY FERRY RD STE 410, SAINT LOUIS, MO 63122-3325
(314) 835-4873
(314) 336-6475
Mailing address
121 SAINT LUKES CENTER DR, CHESTERFIELD, MO 63017-3518
(636) 685-7804
(314) 576-2344

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2083B0002X
Obesity Medicine (Preventive Medicine) Physician

Other

Enumeration date
07/22/2021
Last updated
03/05/2026
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