| Weight Loss Md | |
|
17336 Torrence Ave Lansing IL 60438-1019 | |
| (708) 765-9790 | |
| Not Available |
| Full Name | Weight Loss Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 17336 Torrence Ave, Lansing, Illinois |
| Authorized Official Name and Position | Shiping Bao (PHYSICIAN) |
| Authorized Official Contact | 7087659790 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Weight Loss Md 17336 Torrence Ave Lansing IL 60438-1019 Ph: (708) 765-9790 | Weight Loss Md 17336 Torrence Ave Lansing IL 60438-1019 Ph: (708) 765-9790 |
| NPI Number | 1134935257 |
|---|---|
| Provider Enumeration Date | 12/04/2024 |
| Last Update Date | 12/04/2024 |
| Medicare PECOS PAC ID | 4183152184 |
|---|---|
| Medicare Enrollment ID | O20250107002858 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134935257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Shiping Bao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376724401 PECOS PAC ID: 5092243097 Enrollment ID: I20250113000529 |
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