Organization
LINDA K. SIMONS
Active
Other names
Silhouette Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA K SIMONS CFM (OWNER)
(217) 223-8791
Entity
Organization
Contact information
Practice address
117 N 6TH ST, QUINCY, IL 62301-2903
(217) 223-8791
(217) 223-8791
Mailing address
117 N 6TH ST, QUINCY, IL 62301-2903
(217) 223-8791
(217) 223-8791
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00132029
BLUE CROSS BLUE SHIELD
—
Enumeration date
03/19/2007
Last updated
02/13/2012
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