ANTOINETTE'S WIGS & DAISY BOUTIQUE MASTECTOMY APPEARL is a prosthetic orthotic supplier in Midlothian, IL. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. ANTOINETTE'S WIGS & DAISY BOUTIQUE MASTECTOMY APPEARL NPI is 1518155670. The provider is registered as an organization entity type.
The provider's business location address is:
4714 147TH ST
MIDLOTHIAN, IL
ZIP 60445-527
Phone: (708) 385-5736
Fax: (708) 385-5754
The provider's authorized official is Patricia M Leddy .
The authorized official title is Owner/certified Fitter and has the following contact phone number (708) 385-5736.
The enumeration date for this NPI number is 10/13/2007 and was last updated on 10/13/2007.