Organization
TRUDY'S BOUTIQUE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRUDY EUNICE KRIEGER (PRESIDENT)
(815) 675-2092
Entity
Organization
Contact information
Practice address
2919 E EAST SOLON RD, RICHMOND, IL 60071-9675
(815) 675-1128
Mailing address
2919 E EAST SOLON RD, RICHMOND, IL 60071-9675
(815) 675-1128
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
11/14/2007
Last updated
11/28/2007
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