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Organization
WEIGHT LOSS MD
Active
Organization
WEIGHT LOSS MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIPING BAO MD (PHYSICIAN)
(708) 765-9790
Entity
Organization
Contact information
Practice address
17336 TORRENCE AVE, LANSING, IL 60438-1019
(708) 765-9790
Mailing address
17336 TORRENCE AVE, LANSING, IL 60438-1019
(708) 765-9790
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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