MEDICARE: DR. ANDREW JOHN GARNER D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	038.011914	IL
2	111N00000X	Chiropractor	038011914	IL
3	111N00000X	Chiropractor	CHIA-1464	ID

General Provider Information

NPI Number	:	1932491354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW JOHN GARNER D.C.

Provider Business Mailing Address
First Line	:	24520 S US HIGHWAY 52
Second Line	:
City	:	MANHATTAN
State	:	IL
Zip	:	60442-7784
Country	:	US
Telephone Number	:	815-478-4151
Fax Number	:

Provider Business Practice Location Address
First Line	:	24520 S US HIGHWAY 52
Second Line	:
City	:	MANHATTAN
State	:	IL
Zip	:	60442-7784
Country	:	US
Telephone Number	:	815-478-4151
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2011
Last Update Date	:	06/04/2024

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