Organization Active NPI

Teleslim Clinic PLLC

  • Obesity Medicine (Internal Medicine) Physician
  • Chicago, IL
National Provider Identifier
1679344097
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Internal Medicine) PhysicianTaxonomy code 207RB0002X
Legal business name
TELESLIM CLINIC PLLC
Practice address
875 N Michigan Ave FL 31
Chicago, IL 60611-1962
Phone
(855) 237-7546
NPI assigned
Jan 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Authorized official

Name
Dr. Jihad Kudsi, MD
Title
Ceo
Phone
(507) 261-9346

Specialties & licenses 1

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

Addresses

Primary practice location

875 N Michigan Ave FL 31
Chicago, IL 60611-1962

Mailing address

875 N Michigan Ave FL 31
Chicago, IL 60611-1962
Phone (855) 237-7546

Other names 1

  • TeleSlim Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1679344097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 N MICHIGAN AVE FL 31",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606111962",
            "telephone_number": "855-237-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 N MICHIGAN AVE FL 31",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606111962",
            "telephone_number": "855-237-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELESLIM CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "KUDSI",
        "authorized_official_first_name": "JIHAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "507-261-9346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RB0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TeleSlim Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TeleSlim Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 11, 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.