Provider Demographics
NPI:1952844797
Name:ILONCAIE, MORGAN (DC)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:ILONCAIE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 SPRINGHALL DR
Mailing Address - Street 2:STE A
Mailing Address - City:GOOSE CREEK
Mailing Address - State:SC
Mailing Address - Zip Code:29445-5360
Mailing Address - Country:US
Mailing Address - Phone:843-735-7115
Mailing Address - Fax:
Practice Address - Street 1:2070 NORTHBROOK BLVD STE B5
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-9254
Practice Address - Country:US
Practice Address - Phone:843-641-7075
Practice Address - Fax:843-641-7076
Is Sole Proprietor?:No
Enumeration Date:2016-11-28
Last Update Date:2017-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4072111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor