Organization · Type 2 NPI

Crowning Glory Lace Wigs

Customized Equipment (DME) · Chicago, IL

NPI number 1053549402 Active

Practice location

8100 S Stony Island Ave, Unit F
Chicago, IL 60617-1734

Call (773) 356-9447 Map

Fax (773) 356-9447

Specialties and licenses

TaxonomyCodeLicense
Customized Equipment (DME) Primary 332BC3200XNone listed

Customized Equipment (DME): Definition to come...

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About NPI 1053549402

Crowning Glory Lace Wigs's National Provider Identifier is 1053549402, issued on Jun 24, 2009. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Chicago, IL. The record was last updated on Jun 24, 2009.