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Contact Information

ILLINOIS WELLNESS AND WEIGHT LOSS CENTERS SC
9933 SOUTH WESTERN AVENUE
SUITE 200
CHICAGO, IL60643-1810
 Phone: 708-325-8615
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Bariatric Medicine

207VB0002X 16 Physician/Obstetrics & Gynecology
 

Nutrition, Education

133NN1002X
Indicates primary specialty

NPI Profile & details for ILLINOIS WELLNESS AND WEIGHT LOSS CENTERS SC · (Female)

NPI # 1992158562
Status Active
Credentials
Entity Individual
Enumeration date 07/19/2016
Last updated 08/08/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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