NPI Registry.org

Vadim Lyuksemburg

NPI Registration Record

Provider / OrganizationNPIDate Certified
VADIM LYUKSEMBURG19124317352017-04-18

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 Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) (Allopathic & Osteopathic Physicians, Surgery) (Surgery, ) (Specialist Network, ) (Surgery, Allopathic & Osteopathic Physicians)

RegistrationPART-B:Y
DME:Y
HHA:Y
PMD:Y
Entity TypeIndividual
Provider Name Vadim Lyuksemburg M.D.
Practice Office Address530 NE GLEN OAK AVE
PEORIA, IL US
Practice Office Telephone8474090250
Mailing Address530 NE GLEN OAK AVE
PEORIA, IL 616370001 US
Business Telephone8474090250
Offices / Locations
AddressCity / StatePhone / Fax
3000 N Halsted St Ste 703 Chicago, IL 606575196 7733276800 / 7733276877
HPT Codes
CodePractice
License No
State
390200000X
Student, Health Care
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program

All Other Specialties & Provider Types

Student in an Organized Health Care Education/Training Program
Student, Health Care
208600000X PRIMARY
Allopathic & Osteopathic Physicians
Surgery
Surgery

Specialist Network

Surgery
Allopathic & Osteopathic Physicians
036.160436
IL
OPI Codes
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