Provider Demographics
NPI:1306031968
Name:NATURALLY YOURS,INC.
Entity Type:Organization
Organization Name:NATURALLY YOURS,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BOERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-570-5004
Mailing Address - Street 1:7219 KINGERY HWY
Mailing Address - Street 2:
Mailing Address - City:WILLOWBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60527-7561
Mailing Address - Country:US
Mailing Address - Phone:630-570-5004
Mailing Address - Fax:630-570-5059
Practice Address - Street 1:7219 KINGERY HWY
Practice Address - Street 2:
Practice Address - City:WILLOWBROOK
Practice Address - State:IL
Practice Address - Zip Code:60527-7561
Practice Address - Country:US
Practice Address - Phone:630-570-5004
Practice Address - Fax:630-570-5059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-07
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
1671645OtherBLUECROSSBLUESHIELD
1671645OtherBLUECROSSBLUESHIELD