Organization
DESURO ASSOCIATES LLC
Active
Other names
Images Boutique
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DEBRA HANSEN (PARTNER)
(815) 685-3010
Entity
Organization
Contact information
Practice address
338 ALANA DR, NEW LENOX, IL 60451-1784
(815) 717-6207
Mailing address
338 ALANA DR, NEW LENOX, IL 60451-1784
(815) 717-6207
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
04697-91648
IL
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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