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: July 19, 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

Reviews for ANTOINETTE'S WIGS & DAISY BOUTIQUE MASTECTOMY APPEARL

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518155670, enumerated as an "organization" on October 13, 2007.

The provider is located at 4714 147TH ST MIDLOTHIAN, IL 60445 and the phone number is (708) 385-5736.

Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.