Organization
NATURALLY YOURS,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANIS BOERMAN (OWNER)
(630) 570-5004
Entity
Organization
Contact information
Practice address
7219 KINGERY HWY, WILLOWBROOK, IL 60527-7561
(630) 570-5004
(630) 570-5059
Mailing address
7219 KINGERY HWY, WILLOWBROOK, IL 60527-7561
(630) 570-5004
(630) 570-5059
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1671645
BLUECROSSBLUESHIELD
—
Enumeration date
09/07/2007
Last updated
04/20/2008
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