Organization · Type 2 NPI
Alices Breast Prosthesis Shop
Durable Medical Equipment & Medical Supplies · Deer Grove, IL
NPI number
1548357965
Active
Practice location
1748 Hoover Road
Deer Grove, IL 61243-9738
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | None listed |
Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
About NPI 1548357965
Alices Breast Prosthesis Shop's National Provider Identifier is 1548357965, issued on Oct 6, 2006. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Deer Grove, IL. The record was last updated on Jan 4, 2008.