Guillermina M Luke, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

085-004921 Issued in IL

Practice address

1412 Waukegan Rd
Glenview, IL 60025-2121

Phone

(847) 901-9840

NPI assigned

Dec 20, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: guillermina.luke.3@3569.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rosalind Franklin University Health

  • Durable Medical Equipment & Medical Supplies
  • North Chicago, IL
  • NPI 1982894911
  NPD (past)

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400630400000",
    "number": "1558347682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 WAUKEGAN RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252121",
            "telephone_number": "847-901-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 WAUKEGAN RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252121",
            "telephone_number": "847-901-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKE",
        "first_name": "GUILLERMINA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-20",
        "last_updated": "2014-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085-004921",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AK",
            "license": "1102",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65332571",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Lee Low
• Meghan Christine Lowry, M.A., CF-SLP
• Alice Lozada
• Tianqu Lu
• Christine Wilkins Lucky, MD
• Victoria Lulkin
• Anthony Ponce Lumanglas, COTA/L
• Lumiclinics PLLC (LumiClinics Psychiatry)
• Lumiclinics PLLC (LumiClinics Behavioral Wellness Center)
• Lumiclinics PLLC (LumiClinics Behavioral Wellness Center)

• Medical Physician Assistant in Glenview, IL
• Providers in Glenview, IL by specialty
• Medical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.