Provider Demographics
NPI:1821432329
Name:LUMEN CARDIOVASCULAR SPECIALISTS,LTD
Entity Type:Organization
Organization Name:LUMEN CARDIOVASCULAR SPECIALISTS,LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASIF
Authorized Official - Middle Name:
Authorized Official - Last Name:SERAJIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:630-869-0888
Mailing Address - Street 1:183 N ADDISON AVE
Mailing Address - Street 2:SUITE 170
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-2748
Mailing Address - Country:US
Mailing Address - Phone:630-869-0888
Mailing Address - Fax:630-834-1017
Practice Address - Street 1:183 N ADDISON AVE
Practice Address - Street 2:SUITE 170
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-2748
Practice Address - Country:US
Practice Address - Phone:630-869-0888
Practice Address - Fax:630-834-1017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-26
Last Update Date:2013-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036126138207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty