Organization
CONFIDENTIALLY YOURS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALEXANDRIA R STEWART ABC (PRESIDENT)
(217) 366-0244
Entity
Organization
Contact information
Practice address
1808 ROUND BARN RD STE B, CHAMPAIGN, IL 61821-6817
(217) 366-0244
(217) 366-0245
Mailing address
1808 ROUND BARN RD STE B, CHAMPAIGN, IL 61821-6817
(217) 366-0244
(217) 366-0245
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01023752
BCBS
IL
Enumeration date
01/10/2007
Last updated
02/08/2024
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