Organization
K. MOLLY STYLEZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KAYLA COLLINS RN (CEO)
(773) 516-0151
Entity
Organization
Contact information
Practice address
111 NORTH WABASH AVENUE, SUITE 100, MAILBOX #3902, CHICAGO, IL 60602
(773) 516-0151
Mailing address
111 NORTH WABASH AVENUE, SUITE 100, MAILBOX #3902, CHICAGO, IL 60602
(773) 516-0151
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
—
—
225000000X
Orthotic Fitter
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/04/2025
Last updated
04/04/2025
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