Individual provider Active NPI

Louis M Luna, DC, NP

  • Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1952483430
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209028355 Issued in IL
Practice address
5440 N Cumberland Ave Ste 275
Chicago, IL 60656-1490
Phone
(708) 831-5185
NPI assigned
Oct 20, 2006
Last updated
Jul 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209028355 IL Primary
Chiropractor 111N00000X 038010483 IL

Addresses

Primary practice location

5440 N Cumberland Ave Ste 275
Chicago, IL 60656-1490

Mailing address

1914 N Nordica Ave
Chicago, IL 60707-3834
Phone (773) 619-3611

Other practice location 1

4920 N Central Ave
1A
Chicago, IL 60630-2338
Phone (773) 427-0820

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
I20231025000443 IL Practitioner - Nurse Practitioner 9638231335 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5440 N Cumberland Ave
Chicago, IL 60656-1490
Phone (773) 619-3611

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209028355ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Pain Institute, LLC CurrentSince Dec 1, 2023 Accepting new patients
Blue Line Medical Inc CurrentSince Jul 26, 2024 Accepting new patients
Interventional Pain Institute, LLC CurrentSince Dec 1, 2023 Accepting new patients
Illinois Medical Group SC Past Accepting new patients

Locations

4414 W Center Dr
Alton, IL 62002
Phone (618) 509-8454

5440 N Cumberland Ave
Chicago, IL 60656
Phone (773) 619-3611

5440 N Cumberland Ave
Ste 275
Chicago, IL 60656
Phone (708) 831-5185

916 Talon Dr
O Fallon, IL 62269
Phone (618) 628-8211

916 Talon Dr
#102
O Fallon, IL 62269
Phone (618) 628-8211

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1952483430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 N NORDICA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607073834",
            "telephone_number": "773-619-3611",
            "fax_number": "773-622-9870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 N CUMBERLAND AVE STE 275",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606561490",
            "telephone_number": "708-831-5185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4920 N Central Ave",
            "address_2": "1A",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606302338",
            "country_code": "US",
            "telephone_number": "773-427-0820",
            "fax_number": "773-427-0825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUNA",
        "first_name": "LOUIS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC, NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209028355",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010483",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.