Comprehensive Weight Management Center LLC.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

COMPREHENSIVE WEIGHT MANAGEMENT CENTER LLC.

Practice address

4747 Lincoln Mall Dr Ste 100
Matteson, IL 60443-3812

Phone

(708) 747-8006

Fax

(708) 747-8272

NPI assigned

Jun 6, 2023

Organization subpart

No

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

Authorized official

Name

Sherriff Alli-Balogun, MDNPI 1114058617

Title

Medical Director

Phone

(708) 250-5091

Specialties & licenses 1

Addresses

Other names 1

• CWMC. Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Sherriff Alli-Balogun, M.D.

  • Internal Medicine Physician
  • Matteson, IL
  • NPI 1114058617
  NPD Authorized official

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1144914730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 LINCOLN MALL DR STE 100",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604433812",
            "telephone_number": "708-747-8006",
            "fax_number": "708-747-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 LINCOLN MALL DR STE 100",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604433812",
            "telephone_number": "708-747-8006",
            "fax_number": "708-747-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE WEIGHT MANAGEMENT CENTER LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "ALLI-BALOGUN",
        "authorized_official_first_name": "SHERRIFF",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "708-250-5091",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CWMC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mica Coleman, LPC
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• Jaclyn Coners, DPT
• Kyla Conner, MPH
• Connie Home Health Care,NFP
• Amber Aniese Cook
• Sammika Cosey, BCBA

• Clinic/Center in Matteson, IL
• Providers in Matteson, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.