Provider Demographics
NPI:1841971058
Name:PHYSICIAN PARTNERS IN COMPREHENSIVE WEIGHT MANAGEMENT PLLC
Entity type:Organization
Organization Name:PHYSICIAN PARTNERS IN COMPREHENSIVE WEIGHT MANAGEMENT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:KARIS
Authorized Official - Middle Name:
Authorized Official - Last Name:TEKWANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-349-5599
Mailing Address - Street 1:2501 CHATHAM RD STE 4281
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62704-4188
Mailing Address - Country:US
Mailing Address - Phone:630-349-5599
Mailing Address - Fax:
Practice Address - Street 1:16W300 83RD ST
Practice Address - Street 2:
Practice Address - City:BURR RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60527-5892
Practice Address - Country:US
Practice Address - Phone:630-349-5599
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-31
Last Update Date:2023-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083B0002XAllopathic & Osteopathic PhysiciansPreventive MedicineObesity MedicineGroup - Single Specialty