Individual
DOMONIQUE STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
10251 LINCOLN TRL, FAIRVIEW HEIGHTS, IL 62208-1846
(618) 215-3775
Mailing address
10251 LINCOLN TRL, FAIRVIEW HEIGHTS, IL 62208-1846
(618) 570-3695
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038012963
IL
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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