Organization
NATURAL RESEMBLANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LETOY HANNAH (OWNER)
(708) 515-1692
Entity
Organization
Contact information
Practice address
43 WEDGEWOOD RD, MATTESON, IL 60443-1077
(708) 515-1692
Mailing address
16060 OAK PARK AVE STE 142, TINLEY PARK, IL 60477-1626
(708) 515-1692
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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