Intimate Boutique 2, Ltd
NPI #1629138524 in Highland Park, Illinois
Provider Information
- NPI Number
- 1629138524
- Entity Type
- Organization
- Organization Name
- Intimate Boutique 2, Ltd
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Dec 11, 2006
- Last Updated
- Mar 10, 2008
Practice Location
- Address
- 1833 SECOND STREET
- City
- Highland Park
- State
- Illinois
- ZIP Code
- 60035
- Phone
- (847) 432-0220
Authorized Official
- Name
- ANGELA FIORETTO
- Title
- OFFICE MANAGER
- Phone
- (847) 432-0220
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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