ANTOINETTE'S WIGS & DAISY BOUTIQUE MASTECTOMY APPEARL
NPI 1518155670
Prosthetic/Orthotic Supplier in Midlothian, IL

Active since October 13, 2007
4714 147TH ST, MIDLOTHIAN, IL 60445(708) 385-5736(708) 385-5754 Get Directions Write a Review

NPPES record last updated: October 13, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Antoinette's Wigs & Daisy Boutique Mastectomy Appearl NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTOINETTE'S WIGS & DAISY BOUTIQUE MASTECTOMY APPEARL (NPI 1518155670) is a healthcare organization registered as a prosthetic/orthotic supplier in Midlothian, Illinois and active in the NPI registry since October 2007. The organization lists Patricia M Leddy, Owner/certified Fitter, as its authorized official.

NPPES Registry Identity

NPI1518155670
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameANTOINETTE'S WIGS & DAISY BOUTIQUE MASTECTOMY APPEARL
Location Address4714 147TH STMidlothian, IL 60445-2527
Mailing Address4714 147th StMidlothian, IL 60445-2527 · (708) 385-5736 · Fax (708) 385-5754
Fax(708) 385-5754
Organization SubpartNo
Authorized OfficialPatricia M LeddyOwner/certified Fitter · (708) 385-5736
Enumeration DateOctober 13, 2007
NPI 1518155670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
License Licensed in IL · 31674331
Definition
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.
4714 147TH ST, Midlothian, IL 60445

Other Identifiers 1

Medicare PIN4313710001IL

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist (Prosthetics Case Management)
4714 147TH ST
MIDLOTHIAN, IL 60445

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antoinette's Wigs & Daisy Boutique Mastectomy Appearl's NPI number?

The NPI number for Antoinette's Wigs & Daisy Boutique Mastectomy Appearl is 1518155670. It was assigned to this organization in the NPPES registry on October 13, 2007.

Where is Antoinette's Wigs & Daisy Boutique Mastectomy Appearl located?

Antoinette's Wigs & Daisy Boutique Mastectomy Appearl is located at 4714 147th St, Midlothian, IL 60445. The listed phone number is (708) 385-5736.

What is Antoinette's Wigs & Daisy Boutique Mastectomy Appearl's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Antoinette's Wigs & Daisy Boutique Mastectomy Appearl was last updated on October 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.