OrganizationActive
Bodyworks Medical Center of Stc LLC
NPI 1023740198 · General Practice Physician · St Charles, IL
Provider details
- NPI number
- 1023740198
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Chanele Smith, Manager(239) 260-0530
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
923 S Randall Rd
St Charles, IL 60174-1556
Phone: (239) 260-0530
Approximate (ZIP-level) locationGet directions
Mailing address
923 S Randall Rd
St Charles, IL 60174-1556
Registry dates
- Enumerated
- 2022-06-28
- Last updated
- 2025-02-27
- Certified
- 2025-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.