Organization · Type 2 NPI
Antoinette's Wigs & Daisy Boutique Mastectomy Appearl
Prosthetic/Orthotic Supplier · Midlothian, IL
Practice location
4714 147th St
Midlothian, IL 60445-2527
Fax (708) 385-5754
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | 31674331 (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.
Another provider at this address
About NPI 1518155670
Antoinette's Wigs & Daisy Boutique Mastectomy Appearl's National Provider Identifier is 1518155670, issued on Oct 13, 2007. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Midlothian, IL. The record was last updated on Oct 13, 2007.