Provider Demographics
NPI:1912578857
Name:CHICAGO INSTITUTE OF ADVANCED BARIATRICS
Entity Type:Organization
Organization Name:CHICAGO INSTITUTE OF ADVANCED BARIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-327-6800
Mailing Address - Street 1:3000 N HALSTED ST STE 703
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-5196
Mailing Address - Country:US
Mailing Address - Phone:773-327-6800
Mailing Address - Fax:773-327-6877
Practice Address - Street 1:3000 N HALSTED ST STE 703
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-5196
Practice Address - Country:US
Practice Address - Phone:773-327-6800
Practice Address - Fax:773-327-6877
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHICAGO INSTITUTE OF ADVANCED SURGERY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-01
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty