Individual provider Active NPI

Abraham Luba

  • Psychiatric/Mental Health Nurse Practitioner
  • Oak Park, IL
National Provider Identifier
1760900799
Registry record updated Jun 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
277003662 Issued in IL
Practice address
101 Madison St
Ste 300
Oak Park, IL 60302-4210
Phone
(708) 486-2700
NPI assigned
Aug 30, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277003662 IL Primary

Addresses

Primary practice location

101 Madison St
Ste 300
Oak Park, IL 60302-4210

Mailing address

768 Biloxie CT
Carol Stream, IL 60188-9213
Phone (630) 946-7549

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171005001383 IL Practitioner - Nurse Practitioner 5092080770 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cimpar SCGroup PAC ID 3577578798, 35 clinicians
Edgewood Clinical Services P.C.Group PAC ID 3971963901, 304 clinicians

Practice addresses (Care Compare)

101 Madison St
Suite 300
Oak Park, IL 60302-4210
Phone (708) 486-2700

55 E Loop Rd
Wheaton, IL 60189-1938
Phone (888) 428-7890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.016130ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Psychiatry LLC Psychiatric/Mental Health CurrentSince Jul 1, 2025 Accepting new patients
Cimpar, S.C. CurrentSince Jul 17, 2018 Accepting new patients
Edgewood Clinical Services, P.C. Psychiatric/Mental Health CurrentSince Feb 10, 2025 Accepting new patients
Psychology Specialists LTD Past Accepting new patients

Locations

808 S Eldorado Rd
Ste 102
Bloomington, IL 61704
Phone (309) 212-6007

2259 W Taylor St
Chicago, IL 60612
Phone (312) 285-2982

2948 Artesian Rd
Ste 112
Naperville, IL 60564
Phone (630) 328-0165

101 Madison St
Ste 300
Oak Park, IL 60302
Phone (773) 849-9406

55 E Loop Rd
Ste 301
Wheaton, IL 60189
Phone (630) 690-7300

55 E Loop Rd
Wheaton, IL 60189
Phone (630) 653-8899

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.abrahamluba@146897.advancedmd-direct.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782518400000",
    "number": "1760900799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "768 BILOXIE CT",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601889213",
            "telephone_number": "630-946-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MADISON ST",
            "address_2": "STE 300",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603024210",
            "telephone_number": "708-486-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBA",
        "first_name": "ABRAHAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-30",
        "last_updated": "2026-06-27",
        "certification_date": "2026-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277003662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.