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Organization

RESTORE 3:16, LLC

Active
Other names
RESTORE 3:16,LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DELFANITA ELLEN WARREN HAIR LOSS SPECIALIST (CEO)
(708) 316-1630
Entity
Organization

Contact information

Practice address
16060 OAK PARK AVE STE 110, TINLEY PARK, IL 60477-1626
(708) 360-1630
Mailing address
430 E 162ND ST STE 474, SOUTH HOLLAND, IL 60473-2258
(708) 316-1630

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary

Other

Enumeration date
02/02/2019
Last updated
02/02/2019
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