NPI | 1508222415 |
---|---|
Doing Business As | IMAGES BOUTIQUE |
Entity Type | Organization |
Authorized Contact | DEBRA HANSEN Partner 815-685-3010 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: IL 04697-91648) |
Enumeration Date | 2016-01-07 |
Last Update Date | 2016-01-07 |