OrganizationActive
Nutrimedicos
NPI 1376886820 · Obesity Medicine (Family Medicine) Physician · Chicago, IL
Provider details
- NPI number
- 1376886820
- Entity type
- Organization
- Primary specialty
- Obesity Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Larry Jenkins, Billing Manager(312) 953-0547
- License
- 036117092 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1719 W 18th St
Chicago, IL 60608-4833
Phone: (312) 929-2927
Street-level locationGet directions
Mailing address
1719 W 18th St
Chicago, IL 60608-4833
Registry dates
- Enumerated
- 2013-04-03
- Last updated
- 2013-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.