Organization Active NPI

Weight Loss MD

  • Internal Medicine Physician
  • Lansing, IL
National Provider Identifier
1134935257
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WEIGHT LOSS MD
Practice address
17336 Torrence Ave
Lansing, IL 60438-1019
Phone
(708) 765-9790
NPI assigned
Dec 4, 2024
Last updated
Dec 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Authorized official

Name
Shiping Bao, MDNPI 1376724401
Title
Physician
Phone
(708) 765-9790

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

17336 Torrence Ave
Lansing, IL 60438-1019

Mailing address

17336 Torrence Ave
Lansing, IL 60438-1019
Phone (708) 765-9790

National Provider Directory

National Provider Directory

Locations

17336 Torrence Ave
Lansing, IL 60438
Phone (708) 765-9790

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1134935257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17336 TORRENCE AVE",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604381019",
            "telephone_number": "708-765-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17336 TORRENCE AVE",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604381019",
            "telephone_number": "708-765-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEIGHT LOSS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "BAO",
        "authorized_official_first_name": "SHIPING",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "708-765-9790",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.