Teddy Rose Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

TEDDY ROSE INC.

Practice address

4451 Oakton St
Skokie, IL 60076-3222

Phone

(847) 414-0826

NPI assigned

Nov 23, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Roza Lazar, COSMETOLOGIST

Title

Owner

Phone

(847) 414-0826

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1013626522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4451 OAKTON ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763222",
            "telephone_number": "847-414-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4451 OAKTON ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763222",
            "telephone_number": "847-414-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEDDY ROSE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-23",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "LAZAR",
        "authorized_official_first_name": "ROZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-414-0826",
        "authorized_official_credential": "COSMETOLOGIST"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Skokie, IL by specialty
• Prosthetic/Orthotic Supplier in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.