ANTOINETTE'S WIGS & DAISY BOUTIQUE MASTECTOMY APPEARL

MIDLOTHIAN, IL
NPI1518155670
Entity TypeOrganization
Authorized ContactPATRICIA M LEDDY
Owner/Certified Fitter
708-385-5736
Organization Subpart ?No
Primary Taxonomy335E00000X Prosthetic/Orthotic Supplier
(Licence: IL  31674331)
Enumeration Date2007-10-13
Last Update Date2007-10-13
Business Address
ANTOINETTE'S WIGS & DAISY BOUTIQUE MASTECTOMY APPEARL
4714 147TH ST
MIDLOTHIAN, IL 60445-2527
Phone number: 708-385-5736
Mailing Address
ANTOINETTE'S WIGS & DAISY BOUTIQUE MASTECTOMY APPEARL
4714 147TH ST
MIDLOTHIAN, IL 60445-2527
Phone number: 708-385-5736