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General NPI Number Information
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NPI Number | 1700609484
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Entity Type | Organization
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Legal Business Name | KNOWN CHICAGO SC
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Dates
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Enumeration Date | 11/01/2024
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 460 QUAIL RIDGE DR
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City | WESTMONT
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State | IL
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Zip | 60559-6145
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Country | US
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Telephone | 630-986-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 460 QUAIL RIDGE DR
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City | WESTMONT
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State | IL
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Zip | 60559-6145
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Country | US
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Telephone | 630-986-2800
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Fax |
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Authorized Official
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Title or Position | CMO
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Name | DR. BRITTA REIERSON
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Credential | MD
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Telephone | 315-216-2910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2080B0002X
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Taxonomy Name | Pediatric Obesity Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207RB0002X
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Taxonomy Name | Obesity Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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