Individual
MS. KENDRA SHANA' STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
214 S LINDEN ST, NORMAL, IL 61761-3077
(309) 454-8622
Mailing address
214 S LINDEN ST, NORMAL, IL 61761-3077
(309) 454-8622
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
227.016877
IL
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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