Provider Demographics
NPI:1023167624
Name:CONFIDENTIALLY YOURS, INC
Entity type:Organization
Organization Name:CONFIDENTIALLY YOURS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALEXANDRIA
Authorized Official - Middle Name:R
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:ABC
Authorized Official - Phone:217-366-0244
Mailing Address - Street 1:1808 ROUND BARN RD STE B
Mailing Address - Street 2:
Mailing Address - City:CHAMPAIGN
Mailing Address - State:IL
Mailing Address - Zip Code:61821-6817
Mailing Address - Country:US
Mailing Address - Phone:217-366-0244
Mailing Address - Fax:217-366-0245
Practice Address - Street 1:1808 ROUND BARN RD STE B
Practice Address - Street 2:
Practice Address - City:CHAMPAIGN
Practice Address - State:IL
Practice Address - Zip Code:61821-6817
Practice Address - Country:US
Practice Address - Phone:217-366-0244
Practice Address - Fax:217-366-0245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01023752OtherBCBS
IL01023752OtherBCBS
IL=========001Medicaid