Beauty Image Center
NPI #1699974188 in Hanover Park, Illinois
Provider Information
- NPI Number
- 1699974188
- Entity Type
- Organization
- Organization Name
- Beauty Image Center
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Jul 13, 2007
- Last Updated
- Jul 13, 2007
Practice Location
- Address
- 1280 BAMBERG CT
- City
- Hanover Park
- State
- Illinois
- ZIP Code
- 60103
- Phone
- (630) 483-9225
Authorized Official
- Name
- FAITH C. M. MCNICHOLAS, CPC
- Title
- BILLING COORDINATOR
- Phone
- (847) 965-8552
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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