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LUMIN PSYCHIATRY & WELLNESS
NPI 1073468989
Physician Assistant - Medical in Chicago, IL

Active since March 04, 2026
4150 N KENMORE AVE APT 404, CHICAGO, IL 60613(303) 902-1536 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 20, 2026, Mar 4, 2026 (2 updates tracked since 2026).

About Lumin Psychiatry & Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUMIN PSYCHIATRY & WELLNESS (NPI 1073468989) is a healthcare organization registered as a medical in Chicago, Illinois and active in the NPI registry since March 2026. The organization lists Wesley Gordon, Founder/physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1073468989
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameLUMIN PSYCHIATRY & WELLNESS
Location Address4150 N KENMORE AVE APT 404Chicago, IL 60613-5971
Mailing Address4150 N Kenmore Ave Apt 404Chicago, IL 60613-5971 · (303) 902-1536
Phone(303) 902-1536
Organization SubpartNo
Authorized OfficialWesley GordonFounder/physician Assistant · (303) 902-1536
Enumeration DateMarch 4, 2026
Last NPPES UpdateApril 20, 20262 updates tracked since enumeration
NPPES CertifiedApril 20, 2026
✔ NPI 1073468989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
4150 N KENMORE AVE APT 404, Chicago, IL 60613
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lumin Psychiatry & Wellness's NPI number?

The NPI number for Lumin Psychiatry & Wellness is 1073468989. It was assigned to this organization in the NPPES registry on March 4, 2026.

Where is Lumin Psychiatry & Wellness located?

Lumin Psychiatry & Wellness is located at 4150 N Kenmore Ave Apt 404, Chicago, IL 60613. The listed phone number is (303) 902-1536.

What is Lumin Psychiatry & Wellness's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Lumin Psychiatry & Wellness was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.