Individual provider · Type 1 NPI

Aisha Mukes, COSMETOLGY

Prosthetic/Orthotic Supplier · Chicago, IL

NPI number 1164920146 Active

Practice location

1525 E 55th St
Chicago, IL 60615-5512

Call (773) 301-2833 Map

Mailing address

9631 S Forest Ave
Chicago, IL 60628-1473

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000X011288433 (IL)

Prosthetic/Orthotic Supplier: 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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About NPI 1164920146

Aisha Mukes, COSMETOLGY's National Provider Identifier is 1164920146, issued on Jan 25, 2018. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Chicago, IL. The record was last updated on Jan 25, 2018.