Organization · Type 2 NPI
Lovely Layed Wig Shop LLC
Prosthetic/Orthotic Supplier · Country Club Hills, IL
Practice location
4007 167th St
Country Club Hills, IL 60478-2022
Mailing address
7565 S Hoyne Ave
Chicago, IL 60620-5736
Other practice locations
- 7916 S Western Ave Ste 2, Chicago, IL 60620-5911 · (773) 424-4122
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | None 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.
About NPI 1790403350
Lovely Layed Wig Shop LLC's National Provider Identifier is 1790403350, issued on Aug 19, 2022. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Country Club Hills, IL. The record was last updated on Aug 19, 2022.