Organization · Type 2 NPI
Envisioning Crown Wigs Cranial Prosthesis Specialist LLC
Prosthetics Case Management · Bourbonnais, IL
NPI number
1760362198
Active
Practice location
475 Brown Blvd Ste 102
Bourbonnais, IL 60914-2325
Fax (815) 936-8650
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetics Case Management Primary | 1744P3200X | None listed |
| Prosthetist | 224P00000X | None listed |
Prosthetics Case Management: A case manager who provides services for patients with prosthetics.
Another provider at this address
About NPI 1760362198
Envisioning Crown Wigs Cranial Prosthesis Specialist LLC's National Provider Identifier is 1760362198, issued on Sep 5, 2025. The primary taxonomy on file is Prosthetics Case Management (1744P3200X), and the practice location is in Bourbonnais, IL. The record was last updated on Sep 5, 2025.