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Well, still in Philadelphia is Ernesto's on 5th Street, just a bit south of South street. There are a few others along south 5th street as well, but I don't have any personal experience with them. http://www.ernestotailoring.com/ Again, not sure if they would do alterations, but it's worth a phone call. They do talk about making suggestions for your wardrobe, but given their primary business is making tailored clothing, that's no surprise.I will acknowledge that it is sad that in the 5th largest city in US, I have to go to the suburbs to find a good tailor. I guess I'll go to Centofanti.
I went to Ernesto's. They can make a suit from scratch; they will do basic alterations, but they would not recut a pair of pants; they were afraid to do it. I left with suits in hand.