OrganizationActive
Antoinette'S Wigs & Daisy Boutique Mastectomy Appearl
NPI 1518155670 · Prosthetic/Orthotic Supplier · Midlothian, IL
Provider details
- NPI number
- 1518155670
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Patricia Leddy, Owner/Certified Fitter(708) 385-5736
- License
- 31674331 (IL)
Specialties & taxonomies
Suppliers
Practice location
4714 147th St
Midlothian, IL 60445-2527
Phone: (708) 385-5736
Fax: (708) 385-5754
Approximate (ZIP-level) locationGet directions
Mailing address
4714 147th St
Midlothian, IL 60445-2527
Registry dates
- Enumerated
- 2007-10-13
- Last updated
- 2007-10-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.