Organization
BODYWORKS MEDICAL CENTER OF STC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANELE SMITH (MANAGER)
(239) 260-0530
Entity
Organization
Contact information
Practice address
923 S RANDALL RD, ST CHARLES, IL 60174-1556
(239) 260-0530
Mailing address
923 S RANDALL RD, ST CHARLES, IL 60174-1556
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/28/2022
Last updated
02/27/2025
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