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Contact Information

KINETIX MEDICAL WEIGHT LOSS AND WELLNESS, LLC
742 N ADA ST UNIT 1S
CHICAGO, IL60642-8615
 Phone: 773-270-8223
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obesity Medicine

2083B0002X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for KINETIX MEDICAL WEIGHT LOSS AND WELLNESS, LLC

NPI Number 1578129524
LBN Legal business name KINETIX MEDICAL WEIGHT LOSS AND WELLNESS, LLC
Authorized official MONA LALA - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/15/2019
Last updated 05/15/2019 - About 7 years ago
Identifiers
Other 1699716589 INDIVIDUAL NPI
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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