Individual
DR. ANDREW TUNSTALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3113 VILLAGE OFFICE PL, CHAMPAIGN, IL 61822-7673
(217) 398-5999
(217) 398-4031
Mailing address
3113 VILLAGE OFFICE PL, CHAMPAIGN, IL 61822-7673
(217) 398-5999
(217) 398-4031
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1032058
BLUE CROSS BLUE SHIELD
IL
Enumeration date
06/15/2005
Last updated
07/08/2007
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