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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

NPI # 1992158562
LBN Legal business name ILLINOIS WELLNESS AND WEIGHT LOSS CENTERS SC
Authorized official GOLDWYN FOGGIE - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/19/2016
Last updated 08/08/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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