Organization
CHICAGO WEIGHT LOSS CLINIC, LLC
Active
Organization
CHICAGO WEIGHT LOSS CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DHARAM PAUL (MANAGING MEMBER)
(312) 565-1010
Entity
Organization
Contact information
Practice address
1 E SUPERIOR ST, # 306, CHICAGO, IL 60611-2507
(312) 565-1010
(312) 565-1212
Mailing address
155 N HARBOR DR, # 5212, CHICAGO, IL 60601-7364
(312) 565-1010
(312) 565-1212
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036044803
IL
Other
Enumeration date
06/03/2010
Last updated
06/04/2010
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