Organization
BISI BEAUTY SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONSURAT NWOKENKWO (OWNER)
(708) 873-3004
Entity
Organization
Contact information
Practice address
9556 W 147TH ST, ORLAND PARK, IL 60462-2502
(708) 873-3004
Mailing address
9556 W 147TH ST, ORLAND PARK, IL 60462-2502
(708) 873-3004
(773) 777-6633
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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