LUMINA WELLNESS PROFESSIONAL CORPORATION
NPI 1326972514
Nurse Practitioner - Psychiatric/Mental Health in Olympian Field, IL

Q: What is Lumina Wellness Professional Corporation's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since June 11, 2026

20200 GOVERNORS DR. 3RD FLOOR SUITE 333, OLYMPIAN FIELD, IL 60461(773) 413-8533(773) 413-9577 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Lumina Wellness Professional Corporation NPPES

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

LUMINA WELLNESS PROFESSIONAL CORPORATION (NPI 1326972514) is a healthcare organization registered as a psychiatric/mental health in Olympian Field, Illinois and active in the NPI registry since June 2026. The organization lists Basirat Sulaiman, Owner, as its authorized official.

NPPES Registry Identity

NPI1326972514

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameLUMINA WELLNESS PROFESSIONAL CORPORATION

Location Address20200 GOVERNORS DR. 3RD FLOOR SUITE 333Olympian Field, IL 60461

Mailing Address5331 South Indiana Ave Unit 3Chicago, IL 60615 · (773) 413-8533 · Fax (773) 413-9577

Phone(773) 413-8533

Fax(773) 413-9577

Organization SubpartNo

Authorized OfficialBasirat SulaimanOwner · (773) 413-8533

Enumeration DateJune 11, 2026

Last NPPES UpdateJuly 8, 2026

NPPES CertifiedJuly 8, 2026

✔ NPI 1326972514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

20200 GOVERNORS DR. 3RD FLOOR SUITE 333, Olympian Field, IL 60461

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lumina Wellness Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lumina Wellness Professional Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Basirat Sulaiman, MSN, FNP

Nurse Practitioner

NPI 1447851472

5841 S MARYLAND AVE
Chicago, IL 60637

(773) 842-1968

✔ PECOS19 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Lumina Wellness Professional Corporation's NPI number?

The NPI number for Lumina Wellness Professional Corporation is 1326972514. It was assigned to this organization in the NPPES registry on June 11, 2026.

Where is Lumina Wellness Professional Corporation located?

Lumina Wellness Professional Corporation is located at 20200 Governors Dr. 3rd Floor Suite 333, Olympian Field, IL 60461. The listed phone number is (773) 413-8533.

What is Lumina Wellness Professional Corporation's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lumina Wellness Professional Corporation enrolled in Medicare?

Yes. Lumina Wellness Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lumina Wellness Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Lumina Wellness Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lumina Wellness Professional Corporation was last updated on July 8, 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.