Individual
KRISTINA MAE HEAFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1231 THOUVENOT LN STE 100, SHILOH, IL 62269-7203
(618) 234-8300
(618) 234-8295
Mailing address
1231 THOUVENOT LN STE 100, SHILOH, IL 62269-7203
(618) 234-8300
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038013054
IL
Other
Enumeration date
02/21/2017
Last updated
07/20/2022
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