Nutrimedicos

Primary specialty

Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X

License

036117092 Issued in IL

Legal business name

NUTRIMEDICOS

Practice address

1719 W 18TH St
Chicago, IL 60608-4833

Phone

(312) 929-2927

NPI assigned

Apr 3, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Larry Jenkins

Title

Billing Manager

Phone

(312) 953-0547

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364947200000",
    "number": "1376886820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 W 18TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606084833",
            "telephone_number": "312-929-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 W 18TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606084833",
            "telephone_number": "312-929-2927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRIMEDICOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-04-03",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "312-953-0547",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "IL",
            "license": "036117092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zoe Nussbaum
• Holly Nusser, MS, RDN
• Larone Nutall
• Edith A Nutescu, PHARM.D.
• Nutrily, LLC
• Nutrition by Heba LLC
• Nutrition Counseling Services
• Nutrition That Fits Inc
• Nutriving LLC
• Janice Kahano Nuuhiwa, APN/CNS, CPON

• Obesity Medicine (Family Medicine) Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Obesity Medicine (Family Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.