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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANTOINETTE'S WIGS & DAISY BOUTIQUE MASTECTOMY APPEARL

Active Organization

ANTOINETTE'S WIGS & DAISY BOUTIQUE MASTECTOMY APPEARL is a Prosthetic/Orthotic Supplier organization located in MIDLOTHIAN, Illinois. NPI 1518155670 is currently active in the NPPES registry. Verify at CMS.

Prosthetic/Orthotic Supplier · MIDLOTHIAN, IL

Registration Details

NPI Number
1518155670
Provider Type
Organization
NPI Issued
Oct 13, 2007 (18.857351221068 yrs)
Last Updated
Oct 13, 2007
License
31674331 (IL)

Practice Information

Address
4714 147TH ST
MIDLOTHIAN, IL, 604452527
Browse IL providers · Browse ZIP 60445
Phone
7083855736
Fax
7083855754
Primary Specialty
Prosthetic/Orthotic Supplier
335E00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.