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Robertas Lovely Ladies Boutique
Durable Medical Equipment & Medical Supplies in Alton, Illinois
NPI 1376508309

Robertas Lovely Ladies Boutique is a Durable Medical Equipment & Medical Supplies based in Alton, IL. Robertas Lovely Ladies Boutique practices in Alton, IL. The NPI Number for Robertas Lovely Ladies Boutique is 1376508309 and holds a License No. A1735 (Illinois).

The current practice location address for Robertas Lovely Ladies Boutique is 603 West Delmar, Alton, IL and can be reached out via phone at 618-467-0640 and via fax at 618-467-8819.

Location: 603 West Delmar, Alton, IL, 62002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376508309
Provider Name
Robertas Lovely Ladies Boutique
Credential
Provider Entity Type
Organization
Address
603 West Delmar, Alton, IL, 62002
Phone Number
618-467-0640
Fax Number
618-467-8819
Provider Enumeration Date
04/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
137024 01 IL BCBS OF MO
2375728 01 IL AETNA
269893 01 HEALTHLINK OF IL
L038503 01 TRICARE
5824316 01 IL AETNA
06020694 01 IL BCBS OF IL
BA7549138 01 IL MULTI PLAN OF IL
institution
Provider Business Practice Location Address Details
Address
603 West Delmar
City
Alton
State
Illinois
Zip
62002
Phone Number
618-467-0640
Fax Number
618-467-8819
person
Provider Business Mailing Address Details
Address
603 West Delmar
City
Alton
State
Illinois
Zip
62002
Phone Number
618-467-0640
Fax Number
618-467-8819
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
A1735 (Illinois)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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