NUTRIMEDICOS (NPI# 1376886820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376886820 |
| Entity Type | Organization |
| Organization Name | NUTRIMEDICOS |
| Practice Address |
1719 W 18th St Chicago IL 60608-4833 |
| Practice Telephone | 3129292927 |
| Mailing Telephone | 3129292927 |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2013-04-03 |
| Authorized Official Name | MR. LARRY JENKINS (BILLING MANAGER) |
| Authorized Official Telephone | 3129530547 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QB0002X |
Family Medicine Specialization: Obesity Medicine |
036117092 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1719 W 18TH ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60608-4833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689904039 | Prime Care Medical and Physical Therapy Centers, S.c. | Clinic/Center | 1719 W 18th St, Chicago, IL 60608-1913 | 2010-01-07 |
| 1063902468 | Mark Jason Guevarra | Dentist | 1719 W 18th St, Chicago, IL 60608-4833 | 2018-05-11 |
| 1740657774 | Orthodontic Experts | Dentist | 1719 W 18th St, Chicago, IL 60608-4833 | 2015-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390047 | Bethuna Shields | Occupational Therapist | 1401 South California Ave, Chicago, IL 60608 | 2020-06-11 |
| 1861024176 | Mount Sinai Community Foundation | Clinic/Center | 1414 S Fairfield, Chicago, IL 60608 | 2020-02-05 |
| 1205481058 | Joshua Hartman | Pharmacist | 345 Csb Mc 884, 840 S. Wood St, Chicago, IL 60608 | 2019-08-08 |
| 1194386706 | Mount Sinai Hospital, Chicago | Internal Medicine | Mount Sinai Hospital, 1500 S Fairfield Ave, Chicago, IL 60608 | 2019-06-25 |
| 1841754256 | Julia Bates | Occupational Therapist | 1640 W. Roosevelt Rd., 415 Dhsp (mc 726), Chicago, IL 60608 | 2019-01-30 |
| 1194205781 | Anais J Robles | Contractor | 1626 S Allport St, Chicago, IL 60608 | 2018-08-14 |
| 1114412970 | Dmitri Zbarsky | Internal Medicine | 1500 South Fairfield Ave., F-914, Chicago, IL 60608 | 2018-06-25 |
| 1740773050 | Alexia Ilian Derma Salazar | Speech-Language Pathologist | 2301 W 19th St - 3rd Floor Rear, Chicago, IL 60608 | 2018-06-11 |
| 1912424730 | Pareen Modi | Pharmacist | 2539 South Western Avenue, Chicago, IL 60608 | 2017-08-23 |
| 1952824302 | Raquel Gonzalez Heredia | Surgery | 1500 South Fairfield Ave, Chicago, IL 60608 | 2017-07-18 |
| Find all providers in zip 60608 | ||||
| Taxonomy Code | 207QB0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Obesity Medicine |
| A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity. |
| Notes: Source: American Board of Obesity Medicine, www.abom.org [7/1/2015: title and definition modified] Additional Resource: American Society of Bariatric Physicians, www.asbp.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568704443 | Skyline Physicians LLC | Family Medicine | 1263 S Highland Ave Ste 2c, Lombard, IL 60148-4527 | 2013-03-19 |
| 1366702292 | Thinfast Md Rockford | Family Medicine | 461 N Mulford Rd Ste 9, Rockford, IL 61107-5165 | 2012-05-25 |
| 1750647855 | Thinfast Md Naperville | Family Medicine | 1560 Wall St Ste 128, Naperville, IL 60563-1300 | 2012-04-03 |
| 1518223692 | Thinfast Md LLC | Family Medicine | 135 E Algonquin Rd Ste A2, Arlington Heights, IL 60005-5321 | 2012-04-03 |
| 1699057265 | Rjb Medical Wellness Associates Inc | Family Medicine | 4550 W Southwest Highway, Oaklawn, IL 60453-1842 | 2011-09-09 |
| 1063852895 | Amazehealth Weight Loss & Wellness, Sc | Family Medicine | 2340 S Highland Ave, Suite 370, Lombard, IL 60148-5371 | 2013-06-25 |
| 1417204827 | Blessing Hospital | Family Medicine | 1107 College Ave, Quincy, IL 62301-2600 | 2012-08-06 |
Please comment or provide details below to improve the information on NUTRIMEDICOS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.