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Antoinette's Wigs & Daisy Boutique Mastectomy Appearl
Prosthetic/Orthotic Supplier in Midlothian, Illinois
NPI 1518155670

Antoinette's Wigs & Daisy Boutique Mastectomy Appearl is a Prosthetic/Orthotic Supplier based in Midlothian, IL. Antoinette's Wigs & Daisy Boutique Mastectomy Appearl practices in Midlothian, IL. The NPI Number for Antoinette's Wigs & Daisy Boutique Mastectomy Appearl is 1518155670 and holds a License No. 31674331 (Illinois).

The current practice location address for Antoinette's Wigs & Daisy Boutique Mastectomy Appearl is 4714 147Th St, Midlothian, IL and can be reached out via phone at 708-385-5736 and via fax at 708-385-5754. You can also correspond with Antoinette's Wigs & Daisy Boutique Mastectomy Appearl through the mailing address at 4714 147TH ST, MIDLOTHIAN, IL - 60445-2527 (mailing address contact number: 708-385-5736).

Location: 4714 147Th St, Midlothian, IL, 60445-2527
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518155670
Provider Name
Antoinette's Wigs & Daisy Boutique Mastectomy Appearl
Credential
Provider Entity Type
Organization
Address
4714 147Th St, Midlothian, IL, 60445-2527
Phone Number
708-385-5736
Fax Number
708-385-5754
Provider Enumeration Date
10/13/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4714 147Th St
City
Midlothian
State
Illinois
Zip
60445-2527
Phone Number
708-385-5736
Fax Number
708-385-5754
person
Provider Business Mailing Address Details
Address
4714 147Th St
City
Midlothian
State
Illinois
Zip
60445-2527
Phone Number
708-385-5736
Fax Number
708-385-5754
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
31674331 (Illinois)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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