Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Illinois Wellness and Weight Loss Centers SC

Organization Nutrition Education Nutritionist · NPI 1992158562

Illinois Wellness and Weight Loss Centers SC is a Nutrition Education Nutritionist in Chicago, Illinois. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2

Practice location Address checks out

9933 S Western Ave Ste 200
Chicago, IL 60643-1810
Phone: (708) 325-8615
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obesity Medicine (Obstetrics & Gynecology) Physician (primary) Taxonomy 207VB0002X
Nutrition Education Nutritionist Taxonomy 133NN1002X

Record details

NPI number1992158562
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Goldwyn Foggie — Ceo · (708) 325-8616
Other names None; None
NPI enumeratedJuly 19, 2016
Last updated in NPPESAugust 8, 2023
Certification dateAugust 8, 2023
Mailing address9933 South Western Avenue, Suite 200, Chicago, IL 60643-1810

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