| Provider / Organization | NPI | Date Certified |
|---|---|---|
| VADIM LYUKSEMBURG | 1912431735 | 2017-04-18 |
Vadim Lyuksemburg is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1912431735. Registration indicates Vadim Lyuksemburg is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Surgery (Surgery, ) (Specialist Network, ) (Surgery, Allopathic & Osteopathic Physicians)
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Vadim Lyuksemburg M.D. |
| Practice Office Address | 1875 DEMPSTER ST STE 280 PARK RIDGE, IL US |
| Practice Office Telephone | 8473905900 |
| Mailing Address | 29373 NETWORK PL CHICAGO, IL 606731293 US |
| Business Telephone | 8473905900 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 3000 N Halsted St Ste 703 | Chicago, IL 606575196 | 7733276800 / 7733276877 |
| FHIR URL [] | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | |
| Direct Messaging Address [] | [email protected] | Direct |
| Code | Practice | License No State |
|---|---|---|
| 208600000X PRIMARY | Allopathic & Osteopathic Physicians Surgery Surgery Specialist Network Surgery Allopathic & Osteopathic Physicians | 036.160436
IL |