Organization Active NPI

Lumina Wellness Professional Corporation

  • Psychiatric/Mental Health Nurse Practitioner
  • Olympian Field, IL
National Provider Identifier
1326972514
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
LUMINA WELLNESS PROFESSIONAL CORPORATION
Practice address
20200 Governors Dr. 3Rd Floor Suite 333
Olympian Field, IL 60461
Phone
(773) 413-8533
Fax
(773) 413-9577
NPI assigned
Jun 11, 2026
Last updated
Jul 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Basirat SulaimanNPI 1447851472
Title
Owner
Phone
(773) 413-8533

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

20200 Governors Dr. 3Rd Floor Suite 333
Olympian Field, IL 60461

Mailing address

5331 South Indiana Ave Unit 3
Chicago, IL 60615
Phone (773) 413-8533

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1781136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1326972514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5331 SOUTH INDIANA AVE UNIT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60615",
            "telephone_number": "773-413-8533",
            "fax_number": "773-413-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20200 GOVERNORS DR. 3RD FLOOR SUITE 333",
            "city": "OLYMPIAN FIELD",
            "state": "IL",
            "postal_code": "60461",
            "telephone_number": "773-413-8533",
            "fax_number": "773-413-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINA WELLNESS PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-11",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "SULAIMAN",
        "authorized_official_first_name": "BASIRAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-413-8533"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.