Organization
FERDINANDS WIGS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MYRNA LEE HAWKINS (PRESIDENT)
(309) 682-8423
Entity
Organization
Contact information
Practice address
4505 N ROCKWOOD DR STE 3, PEORIA, IL 61615-3815
(309) 682-8423
Mailing address
4505 N ROCKWOOD DR STE 3, PEORIA, IL 61615-3815
(309) 682-8423
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/04/2025
Last updated
05/13/2025
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