Organization Active NPI

Olivera Weight Loss S.C.

  • Obesity Medicine (Internal Medicine) Physician
  • Chicago, IL
National Provider Identifier
1043468465
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Internal Medicine) PhysicianTaxonomy code 207RB0002X
License
042007968 Issued in IL
Legal business name
OLIVERA WEIGHT LOSS S.C.
Practice address
3004 N Ashland Ave
Chicago, IL 60657-3012
Phone
(773) 327-6624
Fax
(773) 327-6685
NPI assigned
Aug 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Arturo Olivera, M.D.
Title
President
Phone
(773) 327-6624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RB0002X 042007968 IL Primary

Addresses

Primary practice location

3004 N Ashland Ave
Chicago, IL 60657-3012

Mailing address

3004 N Ashland Ave
Chicago, IL 60657-3012
Phone (773) 327-6624

National Provider Directory

National Provider Directory

Locations

3000 N Halsted St
Ste 623
Chicago, IL 60657
Phone (773) 281-5818

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1043468465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573012",
            "telephone_number": "773-327-6624",
            "fax_number": "773-327-6685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573012",
            "telephone_number": "773-327-6624",
            "fax_number": "773-327-6685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVERA WEIGHT LOSS S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "OLIVERA",
        "authorized_official_first_name": "ARTURO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-327-6624",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RB0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "IL",
            "license": "042007968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.