Provider Demographics
NPI:1083481154
Name:A BETTER WEIGH #2 INC.
Entity Type:Organization
Organization Name:A BETTER WEIGH #2 INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:A
Authorized Official - Last Name:MORROW
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:773-494-0028
Mailing Address - Street 1:9717 S WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60643-1723
Mailing Address - Country:US
Mailing Address - Phone:773-496-4222
Mailing Address - Fax:877-473-3999
Practice Address - Street 1:2865 N MILWAUKEE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60618-7424
Practice Address - Country:US
Practice Address - Phone:773-496-4222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-07
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center