Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Illinois Wellness and Weight Loss Centers SC

Organization Nutrition Education Nutritionist · NPI 1992158562

Illinois Wellness and Weight Loss Centers SC provides Nutrition Education Nutritionist services 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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