Bodyworks Medical Center of West Dundee PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

BODYWORKS MEDICAL CENTER OF WEST DUNDEE PLLC

Practice address

754 S 8TH St
West Dundee, IL 60118-2102

Phone

(630) 517-5817

NPI assigned

Feb 7, 2024

Last updated

May 7, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark Babinski, DCNPI 1548657901

Title

Owner

Phone

(630) 517-5674

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Babinski, D.C.

  • Chiropractor
  • Carol Stream, IL
  • NPI 1548657901
  Medicare reassignment NPD Authorized official
• Raleigh Guerrero, FNP-BC

  • Family Nurse Practitioner
  • Carol Stream, IL
  • NPI 1376268771
  Medicare reassignment Care Compare group NPD
• Danielle Lynn Smith, FNP-C

  • Family Nurse Practitioner
  • Carol Stream, IL
  • NPI 1477392058
  Medicare reassignment Care Compare group NPD
• Tyler Wayne Vitzthum, D.C.

  • Chiropractor
  • Fairfield, CT
  • NPI 1245686997

  IL

  Medicare reassignment Care Compare group NPD
• Tara L Klaus, APN

  • Nurse Practitioner
  • Naperville, IL
  • NPI 1609341072
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1881458115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 S 8TH ST",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "601182102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 S 8TH ST",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "601182102",
            "telephone_number": "630-517-5817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYWORKS MEDICAL CENTER OF WEST DUNDEE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "BABINSKI",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-517-5674",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susannah Marie Baldock, MS, MPH, RD, LDN
• Matthew Michael Barry
• Graziella I Bistriceanu, M.D.
• Angela R Black Childers, L.C.S.W.
• Bodyworks Medical Center of WD PLLC
• Erin Bracken, LCSW
• John J Buckley, LCPC
• Nicole Rae Butcher, OTR/L
• Jasmin Buthman, APRN
• Center for Chiropractic Medicine, LTD

• General Practice Physician in West Dundee, IL
• Providers in West Dundee, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.