Body Fitness Physical Medicine & Sports Injury Clinic
LBN: Health Care Enterprise
Body Fitness Physical Medicine & Sports Injury Clinic is an health care organization with primary practice located at 707 W Jefferson Street Suite F, Shorewood IL 60404. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Sports Physician, Chiropractic Providers / Orthopedic. Chiropractic Providers / Sports Physician is the primary health care specialty.
Health Care Enterprise can be contacted via phone (815) 725-8200, or through Duarte, Manuel A via phone (815) 725-8200.
Contact Information
Primary practice address
707 W Jefferson Street Suite F
Shorewood IL 60404
Phone: (815) 725-8200
Fax: (815) 730-8576
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Sports Physician | 111NS0005X | Illinois | |
| Chiropractic Providers / Orthopedic | 111NX0800X | Illinois |
Profile Details
| NPI number | 1336296359 |
|---|---|
| LBN Legal business name | Health Care Enterprise |
| DBA Doing business as | Body Fitness Physical Medicine & Sports Injury Clinic |
| Authorized official | Duarte, Manuel A CHIROPRACTIC PHYSICI |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336296359 | NPPES |
| Illinois | Other | 9932246 | BCBS |
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