Organization
HEALTH CARE ENTERPRISE
Active
Other names
Body Fitness Physical Medicine & Sports Injury Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL A DUARTE CHIROPRACTIC PHYSICI (DIRECTOR - CHIROPRACTOR)
(815) 725-8200
Entity
Organization
Contact information
Practice address
707 W JEFFERSON STREET, SUITE F, SHOREWOOD, IL 60404
(815) 725-8200
(815) 730-8576
Mailing address
707 W JEFFERSON STREET, SUITE F, SHOREWOOD, IL 60404
(815) 725-8200
(815) 730-8576
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
—
IL
111NX0800X
Orthopedic Chiropractor
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9932246
BCBS
IL
Enumeration date
01/04/2007
Last updated
09/11/2025
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