Healthcare Provider Details

I. General information

NPI: 1679344097
Provider Name (Legal Business Name): TELESLIM CLINIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2024
Last Update Date: 10/11/2024
Certification Date: 10/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

875 N MICHIGAN AVE FL 31
CHICAGO IL
60611-1962
US

IV. Provider business mailing address

875 N MICHIGAN AVE FL 31
CHICAGO IL
60611-1962
US

V. Phone/Fax

Practice location:
  • Phone: 855-237-7546
  • Fax:
Mailing address:
  • Phone: 855-237-7546
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RB0002X
TaxonomyObesity Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JIHAD KUDSI
Title or Position: CEO
Credential: MD
Phone: 507-261-9346