Organization
A WOMANS PLACE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BELINDA J DUST (OWNER PRESIDENT)
(630) 548-9346
Entity
Organization
Contact information
Practice address
619 S WASHINGTON ST, NAPERVILLE, IL 60540-6772
(630) 548-9346
(630) 548-9376
Mailing address
619 S WASHINGTON ST, NAPERVILLE, IL 60540-6772
(630) 548-9346
(630) 548-9376
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000222495
BLUE CROSS BLUE SHHEILD
IN
05
—
2003875540A
—
IN
Enumeration date
06/12/2007
Last updated
06/22/2010
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