Active NPI
Olivera Weight Loss S.C.
- Obesity Medicine (Internal Medicine) Physician
- Chicago, IL
National Provider Identifier
1043468465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity Medicine (Internal Medicine) Physician
- License
- 042007968
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obesity Medicine (Internal Medicine) Physician | 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 DirectoryLocations
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.
-
- Family Nurse Practitioner
- Chicago, IL
- NPI 1427474709
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.