Individual provider · Type 1 NPI

Tamara Glover-Sims, LICENSED COSMETOLOGI

Prosthetic/Orthotic Supplier · Oak Lawn, IL

NPI number 1720997844 Active

Practice location

4550 W 103rd St Ste 303K
Oak Lawn, IL 60453-4868

Fax (708) 570-6944

Specialties and licenses

TaxonomyCodeLicense
Prosthetist 224P00000XNone listed
Orthotic Fitter 225000000XNone listed
Prosthetic/Orthotic Supplier Primary 335E00000XNone listed

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Another provider at this address

About NPI 1720997844

Tamara Glover-Sims, LICENSED COSMETOLOGI's National Provider Identifier is 1720997844, issued on Sep 3, 2026. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Oak Lawn, IL. The record was last updated on Sep 3, 2026.