Antoinette's Wigs & Daisy Boutique Mastectomy Appearl
Antoinette's Wigs & Daisy Boutique Mastectomy Appearl is a Prosthetic/Orthotic Supplier in Midlothian, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
4714 147th StMidlothian, IL 60445-2527
Phone: (708) 385-5736
Fax: (708) 385-5754
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetic/Orthotic Supplier (primary) | Taxonomy 335E00000X · Licence 31674331 (IL) |
|---|
Record details
| NPI number | 1518155670 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Patricia Leddy — Owner/Certified Fitter · (708) 385-5736 |
| NPI enumerated | October 13, 2007 |
| Last updated in NPPES | October 13, 2007 |
| Mailing address | 4714 147th St, Midlothian, IL 60445-2527 |