LASER TRIM CORP (NPI# 1861017899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861017899 |
Entity Type | Organization |
Organization Name | LASER TRIM CORP |
Practice Address |
3360 Lacrosse Ln Ste 116 Naperville IL 60564-8155 |
Mailing Address |
2863 95th St Ste 225 Naperville IL 60564-9005 |
Practice Telephone | 3312293952 |
Practice Fax Number | 3312609586 |
Mailing Telephone | 3312293952 |
Mailing Fax Number | 3312609586 |
Enumeration Date | 2020-06-16 |
Last Update Date | 2020-06-16 |
Authorized Official Name | JEFFREY RYAN PUA (PHYSICIAN) |
Authorized Official Telephone | 6309089509 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RB0002X |
Internal Medicine Specialization: Obesity Medicine |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Trim Body Sculpting | Doing Business As Name - Organization |
Street Address |
3360 LACROSSE LN STE 116 |
City | NAPERVILLE |
State | IL |
Zip Code | 60564-8155 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548877301 | Joshua Knicker | Chiropractor | 3360 Lacrosse Ln Ste 116, Naperville, IL 60564-8155 | 2020-09-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215598842 | Jennifer A Mcgill | Speech-Language Pathologist | Sovereign Pediatric Therapy, 1315 Macom Dr #103, Naperville, IL 60564 | 2019-06-25 |
1083187660 | Erin Michelle Hankins | Counselor | 2132 Deep Water Lane, Suite # 240, Naperville, IL 60564 | 2019-01-07 |
1851873905 | Helen A Bruckner | Student in an Organized Health Care Education/Training Program | 28w154 Country View Dr., Naperville, IL 60564 | 2018-09-05 |
1912483074 | Kristina Kochanova | Psychologist | 3380 Lacrosse Lane, Suites 106-107, Naperville, IL 60564 | 2018-07-12 |
1831608397 | Courtney Srum | Speech-Language Pathologist | Graham Elementary School 2315 High Meadow Rd., Naperville, IL 60564 | 2017-09-27 |
1447707880 | Isabel Betancourt | Registered Nurse | 1315 Macom Dr Ste 5, Naperville, IL 60564 | 2016-09-01 |
1134577802 | Rosa Maria Felix-jones | Massage Therapist | 3420 Lacrosse, Suite 100, Unit 2 & 3, Naperville, IL 60564 | 2016-06-02 |
1245618412 | Ian E Evans | Counselor | 2948 Artesian Rd., Suite 112, Naperville, IL 60564 | 2015-05-08 |
1093114498 | Sovereign Rehab | Clinic/Center | 1315 Macom Dr. Suite 103, Naperville, IL 60564 | 2014-08-21 |
1154745891 | Antonina Rosaria Sullivan | Occupational Therapist | 10350 Brenner Ct, Naperville, IL 60564 | 2014-02-18 |
Find all providers in zip 60564 |
Taxonomy Code | 207RB0002X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Obesity Medicine |
A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity. |
Notes: Source: American Board of Obesity Medicine, www.abom.org [7/1/2015: title and definition modified] Additional Resource: American Society of Bariatric Physicians, www.asbp.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023352838 | Sung Ling Chou | Internal Medicine | 6121 N 2nd St, Loves Park, IL 61111-4121 | 2012-11-16 |
1043468465 | Olivera Weight Management Sc | Internal Medicine | 3000 N Halsted St, Suite 623, Chicago, IL 60657-5188 | 2008-08-28 |
1093974800 | Maya Medical Centers Sc | Internal Medicine | 3830 W 95th St, Evergreen Park, IL 60805-2004 | 2008-06-06 |
1104955905 | Heal N Cure | Internal Medicine | 1122 Willow Rd, Suite B, Northbrook, IL 60062-6819 | 2007-03-05 |
City | NAPERVILLE |
Zip Code | 60564 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.