Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Luminescence Therapy and Wellness

Organization Clinical Social Worker · NPI 1023936515

Luminescence Therapy and Wellness is a Clinical Social Worker in Chicago, Illinois. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1621 W Farwell Ave Apt 2N
Chicago, IL 60626-3633
Phone: (773) 217-8819
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1023936515
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keeton Phillips — Owner · (812) 204-3469
NPI enumeratedJuly 9, 2026
Last updated in NPPESJuly 9, 2026
Certification dateJuly 10, 2026
Mailing address1621 W Farwell Ave Apt 2n, Chicago, IL 60626-3633

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