OrganizationActive
Illinois Wellness and Weight Loss Centers Sc
NPI 1992158562 · Obesity Medicine (Obstetrics & Gynecology) Physician · Chicago, IL
Provider details
- NPI number
- 1992158562
- Entity type
- Organization
- Primary specialty
- Obesity Medicine (Obstetrics & Gynecology) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Goldwyn Foggie, Ceo
Practice location
9933 South Western Avenue
Suite 200
Chicago, IL 60643-1810
Phone: (708) 325-8615
Mailing address
9933 South Western Avenue
Chicago, IL 60643-1810
Registry dates
- Enumerated
- 2016-07-19
- Last updated
- 2023-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.