TRUDY'S BOUTIQUE INC NPI 1023298429

Specialist (Prosthetics Case Management) in Richmond, IL

NPI 1023298429 Organization Specialist Prosthetics Case Management

About TRUDY'S BOUTIQUE INC

Trudy's Boutique Inc is a provider established in Richmond, Illinois specializing in specialist (prosthetics case management) . The NPI number of Trudy's Boutique Inc is 1023298429 and was assigned on November 2007. The practitioner's primary taxonomy code is 1744P3200X. The provider is registered as an organization and their NPI record was last updated 14 years ago. Trudy's Boutique Inc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mrs. Trudy Eunice Krieger (President)

NPI

1023298429

Provider NameTRUDY'S BOUTIQUE INC
Provider Location Address2919 E EAST SOLON RD RICHMOND, IL 60071
Provider Mailing Address2919 E EAST SOLON RD RICHMOND, IL 60071
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date11-14-2007
Last Update Date11-28-2007


Primary Taxonomy

Taxonomy Code1744P3200X
ClassificationSpecialist
TypeOther Service Providers
SpecializationProsthetics Case Management

Business Address

TRUDY'S BOUTIQUE INC
2919 E EAST SOLON RD
RICHMOND, IL
ZIP 60071
Phone: (815) 675-1128

Get Directions


Mailing Address

TRUDY'S BOUTIQUE INC
2919 E EAST SOLON RD
RICHMOND, IL
ZIP 60071
Phone: (815) 675-1128



Authorized Official

Authorized Official NameMRS. TRUDY EUNICE KRIEGER
Authorized Official TitlePRESIDENT
Authorized Official Phone(815) 675-2092

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
0271000001MEDICARE NSC (07)IL

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1871716159MRS. TRUDY EUNICE KRIEGER
Individual
Specialist (Prosthetics Case Management)2919 E EAST SOLON RD
RICHMOND, IL 60071
(815) 675-2092

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.