Organization
HEALTHY SPINES HEALTHY MINDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONYA ELIZABETH KHOURI DC (OWNER)
(309) 291-3150
Entity
Organization
Contact information
Practice address
330 S MAIN ST, MORTON, IL 61550-1976
(309) 291-3150
(309) 279-3469
Mailing address
330 S MAIN ST STE E, MORTON, IL 61550-1977
(309) 291-3150
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194047324
BLUE CROSS BLUE SHIELD
—
Enumeration date
03/25/2021
Last updated
06/08/2021
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