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LOVELY LAYED WIG SHOP LLC
NPI 1790403350
Prosthetic/Orthotic Supplier in Country Club Hills, IL

Active since August 19, 2022
4007 167TH ST, COUNTRY CLUB HILLS, IL 60478(708) 551-5579 Get Directions Write a Review

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lovely Layed Wig Shop Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOVELY LAYED WIG SHOP LLC (NPI 1790403350) is a healthcare organization registered as a prosthetic/orthotic supplier in Country Club Hills, Illinois and active in the NPI registry since August 2022. The organization maintains a secondary practice location in Chicago and lists Dericka Cooper, Owner, as its authorized official.

NPPES Registry Identity

NPI1790403350
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameLOVELY LAYED WIG SHOP LLC
Location Address4007 167TH STCountry Club Hills, IL 60478-2022
Mailing Address7565 S Hoyne AveChicago, IL 60620-5736 · (773) 603-8535
Phone(708) 551-5579
Organization SubpartNo
Authorized OfficialDericka CooperOwner · (773) 603-8535
Enumeration DateAugust 19, 2022
NPPES CertifiedAugust 19, 2022
✔ NPI 1790403350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition

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.

4007 167TH ST, Country Club Hills, IL 60478
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Secondary Practice Location 1

Location 17916 S Western Ave Ste 2Chicago, IL 60620-5911 · Phone (773) 424-4122

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lovely Layed Wig Shop LLC's NPI number?

The NPI number for Lovely Layed Wig Shop LLC is 1790403350. It was assigned to this organization in the NPPES registry on August 19, 2022.

Where is Lovely Layed Wig Shop LLC located?

Lovely Layed Wig Shop LLC is located at 4007 167th St, Country Club Hills, IL 60478. The listed phone number is (708) 551-5579.

What is Lovely Layed Wig Shop LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Lovely Layed Wig Shop LLC was last updated on August 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.