Organization
BODYFOCUS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE MARIE SMITH-WHITE PT (OWNER/PT)
(630) 439-4661
Entity
Organization
Contact information
Practice address
66 W 63RD ST, WILLOWBROOK, IL 60527-7576
(630) 439-4661
(630) 596-2455
Mailing address
404 NAPERVILLE RD, CLARENDON HILLS, IL 60514-2805
(630) 439-4661
(630) 596-2455
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070004413
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01633773
BCBS
IL
Enumeration date
11/01/2007
Last updated
11/15/2024
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