| NPI | 1700609484 |
|---|---|
| Other Name | KNOWN CHICAGO SC |
| Entity Type | Organization |
| Authorized Contact | BRITTA REIERSON Cmo 315-216-2910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2080B0002X Pediatrics, Obesity Medicine |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| 207RB0002X Internal Medicine, Bariatric Medicine | |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2024-11-01 |
| Last Update Date | 2025-12-22 |