Intimate Boutique 2, Ltd - Highland Park, IL

Intimate Boutique 2, Ltd

Prosthetic/Orthotic Supplier in Highland Park, Illinois

NPI 1629138524

Intimate Boutique 2, Ltd is a Prosthetic/Orthotic Supplier based in Highland Park, IL. Intimate Boutique 2, Ltd practices in Highland Park, IL. The NPI Number for Intimate Boutique 2, Ltd is 1629138524 and holds a License No. 15359379 (Illinois).

The current practice location address for Intimate Boutique 2, Ltd is 1833 Second Street, Highland Park, IL and can be reached out via phone at 847-432-0220.

Location: 1833 Second Street, Highland Park, IL, 60035

NPI Number

1629138524

Provider Name

Intimate Boutique 2, Ltd

Credential

Provider Entity Type

Organization

Address

1833 Second Street, Highland Park, IL, 60035

Phone Number

847-432-0220

Fax Number

Provider Enumeration Date

12/11/2006

Last Update Date

03/08/2024

Address

1833 Second Street

City

Highland Park

State

Illinois

Zip

60035

Phone Number

847-432-0220

Fax Number

Address

1833 Second Street

City

Highland Park

State

Illinois

Zip

60035

Phone Number

847-432-0220

Fax Number

Type

Suppliers

Classification

Prosthetic/Orthotic Supplier

Speciality

Taxonomy

335E00000X

License No.

15359379 (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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