Organization
THE LAND OF HER
Active
Other names
Crown Solutions Prosthetics Center
Organization subpart
No
Provider details
NPI number
Authorized official
TANEISHA MOORE ACCESS MANAGER (PROSTHETICS SPECIALIST)
(773) 370-3726
Entity
Organization
Contact information
Practice address
2829 W 87TH ST, EVERGREEN PARK, IL 60805-1135
(873) 349-3464
(773) 352-9492
Mailing address
2829 W 87TH ST, EVERGREEN PARK, IL 60805-1135
(773) 349-3464
(773) 352-9492
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/23/2022
Last updated
02/21/2023
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