| Bodyworks Medical Center Of West Dundee Pllc | |
|
754 S 8th St West Dundee IL 60118-2102 | |
| (630) 517-5817 | |
| Not Available |
| Full Name | Bodyworks Medical Center Of West Dundee Pllc |
|---|---|
| Speciality | General Practice |
| Location | 754 S 8th St, West Dundee, Illinois |
| Authorized Official Name and Position | Mark Babinski (OWNER) |
| Authorized Official Contact | 6305175674 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bodyworks Medical Center Of West Dundee Pllc 754 S 8th St West Dundee IL 60118-2102 Ph: () - | Bodyworks Medical Center Of West Dundee Pllc 754 S 8th St West Dundee IL 60118-2102 Ph: (630) 517-5817 |
| NPI Number | 1881458115 |
|---|---|
| Provider Enumeration Date | 02/07/2024 |
| Last Update Date | 05/07/2024 |
| Medicare PECOS PAC ID | 2769824366 |
|---|---|
| Medicare Enrollment ID | O20240529000307 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881458115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Mark Babinski |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1548657901 PECOS PAC ID: 8729399209 Enrollment ID: I20150624003085 |
| Provider Name | Tara L Klaus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609341072 PECOS PAC ID: 2163753757 Enrollment ID: I20191014000083 |
| Provider Name | Tyler W Vitzthum |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1245686997 PECOS PAC ID: 9638432826 Enrollment ID: I20221207003150 |
| Provider Name | Raleigh Guerrero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376268771 PECOS PAC ID: 9234508292 Enrollment ID: I20221214000055 |
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