| NPI | 1467460733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW L. MORNINGSTAR Owner 618-288-8090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038008822) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038004337) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-02-07 |