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Organization
MORNINGSTAR CHIROPRACTIC & REHABILITATION CENTER LTD
Active
Organization
MORNINGSTAR CHIROPRACTIC & REHABILITATION CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW L. MORNINGSTAR DC (OWNER)
(618) 288-8090
Entity
Organization
Contact information
Practice address
3733 S STATE ROUTE 159, GLEN CARBON, IL 62034-3043
(618) 288-8090
(618) 288-4422
Mailing address
PO BOX 843, GLEN CARBON, IL 62034-0843
(618) 288-8090
(618) 288-4422
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038004337
IL
111N00000X
Chiropractor
Primary
038008822
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06032118
BCBS ILLINOIS
IL
Enumeration date
08/03/2006
Last updated
02/07/2020
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