Healthcare Provider Details

I. General information

NPI: 1952483430
Provider Name (Legal Business Name): LOUIS M LUNA DC, NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5440 N CUMBERLAND AVE STE 275
CHICAGO IL
60656-1490
US

IV. Provider business mailing address

1914 N NORDICA AVE
CHICAGO IL
60707-3834
US

V. Phone/Fax

Practice location:
  • Phone: 708-831-5185
  • Fax:
Mailing address:
  • Phone: 773-619-3611
  • Fax: 773-622-9870

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209028355
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038010483
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: