Organization Active NPI

Sally Ann Corset Shop Inc

  • Prosthetic/Orthotic Supplier
  • Chicago, IL
National Provider Identifier
1922286038
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
SALLY ANN CORSET SHOP INC
Practice address
10501 S Western Avenue
Chicago, IL 60643-2527
Phone
(773) 298-1031
Fax
(847) 256-0866
NPI assigned
Jan 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Authorized official

Name
Mrs. Cayla L Bender
Title
President
Phone
(773) 298-1031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

10501 S Western Avenue
Chicago, IL 60643-2527

Mailing address

10501 S Western Avenue
Chicago, IL 60643-2527
Phone (773) 298-1031

National Provider Directory

National Provider Directory

Locations

10501 S Western Ave
Chicago, IL 60643
Phone (773) 298-1031

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1922286038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 S WESTERN AVENUE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432527",
            "telephone_number": "773-298-1031",
            "fax_number": "847-256-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 S WESTERN AVENUE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432527",
            "telephone_number": "773-298-1031",
            "fax_number": "847-256-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALLY ANN CORSET SHOP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "BENDER",
        "authorized_official_first_name": "CAYLA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-298-1031",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.