Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Total Body Renewal Medical Weight Management & Laser Treatment Cente

Organization Family Medicine Physician · NPI 1518736149

Total Body Renewal Medical Weight Management & Laser Treatment Cente is a Family Medicine Physician in Columbia, Illinois. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

420 Columbia Ctr
Columbia, IL 62236-2540
Phone: (618) 719-2011
Fax: (618) 417-6046
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Medical Specialty Clinic/Center Taxonomy 261QM2500X

Record details

NPI number1518736149
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Wood — Owner · (618) 967-9859
NPI enumeratedDecember 22, 2023
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025
Mailing address10400 Adrian Rd, Mascoutah, IL 62258-4344

Other providers in Columbia