Intimate Illusions

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

INTIMATE ILLUSIONS

Practice address

333 S Stephenson Ave
Iron Mountain, MI 49801-2942

Phone

(906) 776-2190

Fax

(906) 776-2191

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Jean Elmer Simone

Title

President Mastectomy Fitter

Phone

(906) 776-2190

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1770707580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S STEPHENSON AVE",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498012942",
            "telephone_number": "906-776-2190",
            "fax_number": "906-776-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S STEPHENSON AVE",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498012942",
            "telephone_number": "906-776-2190",
            "fax_number": "906-776-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTIMATE ILLUSIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "SIMONE",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "ELMER",
        "authorized_official_title_or_position": "PRESIDENT MASTECTOMY FITTER",
        "authorized_official_telephone_number": "906-776-2190"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hyland Convalescent Home
• Hypnotic Solutions LLC
• Indigo Hospital Medicine - Iron Mountain PLC
• Integrated First Response-Great Lakes
• Integrity Care EMS
• Marietta Iordachescu, COTA
• Iron Mountain Acupuncture and Wellness
• Iron Mountain Counseling Center, Inc.
• Iron Mountain Vamc
• Iron Mountain Vamc

• Durable Medical Equipment & Medical Supplies in Iron Mountain, MI
• Providers in Iron Mountain, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.