The Chicago Weight Loss Center, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036128168 Issued in IL

Legal business name

THE CHICAGO WEIGHT LOSS CENTER, LLC

Practice address

2731 N Lincoln Ave
Chicago, IL 60614-1320

Phone

(210) 632-8028

NPI assigned

Mar 11, 2014

Last updated

Mar 11, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christine Bransford

Title

MBR

Phone

(210) 632-8028

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1760808000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 W HURON ST UNIT 4W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606426297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2731 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141320",
            "telephone_number": "210-632-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHICAGO WEIGHT LOSS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "BRANSFORD",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "210-632-8028"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164005482",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036128168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Chicago Lighthouse for People Who Are Blind Or Visually Impaired (Birth-to-Three Program)
• The Chicago Lighthouse for People Who Are Blind Or Visually Impaired (Adult Day Program)
• The Chicago Recovery Project
• The Chicago School of Professional Psychology
• The Chicago School of Professional Psychology
• The Child Project
• The Children's Place Association
• The Children's Place Association
• The Children's Place Home Health Association
• The Chiropractic Way S.C.

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.