Organization
KINETIX MEDICAL WEIGHT LOSS AND WELLNESS, LLC
Active
Organization
KINETIX MEDICAL WEIGHT LOSS AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONA LALA MD (DIRECTOR)
(773) 458-5586
Entity
Organization
Contact information
Practice address
742 N ADA ST UNIT 1S, CHICAGO, IL 60642-8615
(773) 270-8223
Mailing address
742 N ADA ST UNIT 1S, CHICAGO, IL 60642-8615
(773) 270-8223
Taxonomy
Speciality
Code
Description
License number
State
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699716589
INDIVIDUAL NPI
—
Enumeration date
05/15/2019
Last updated
05/15/2019
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