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General NPI Number Information
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NPI Number | 1679953707
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Entity Type | Organization
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Legal Business Name | BODYWORKS CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 06/03/2015
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 270 W ARMY TRAIL ROAD
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City | CAROL STREAM
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State | IL
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Zip | 60188-9423
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Country | US
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Telephone | 239-260-0530
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Fax | 630-300-3702
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Provider Business Mailing Address
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Address Line | 270 W ARMY TRAIL ROAD
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City | CAROL STREAM
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State | IL
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Zip | 60188
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Country | US
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Telephone | 630-517-5674
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Fax | 630-300-3702
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Authorized Official
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Title or Position | MANAGER
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Name | CHANELE SMITH
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Credential |
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Telephone | 239-260-0530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038012797
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038012795
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License Number State | IL
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