Organization
INTIMATE BOUTIQUE 2, LTD
Active
Other names
Betty Schwartzs
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA FIORETTO (OFFICE MANAGER)
(847) 432-0220
Entity
Organization
Contact information
Practice address
1833 SECOND STREET, HIGHLAND PARK, IL 60035
(847) 432-0220
Mailing address
1833 SECOND STREET, HIGHLAND PARK, IL 60035
(847) 432-0220
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
15359379
IL
Other
Enumeration date
12/11/2006
Last updated
03/10/2008
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