CROWNING GLORY LACE WIGS (NPI# 1053549402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053549402 |
| Entity Type | Organization |
| Organization Name | CROWNING GLORY LACE WIGS |
| Practice Address |
8100 S Stony Island Ave Unit F Chicago IL 60617-1734 |
| Practice Telephone | 7733569447 |
| Practice Fax Number | 7733569447 |
| Mailing Telephone | 7733569447 |
| Mailing Fax Number | 7733569447 |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2009-06-24 |
| Authorized Official Name | MRS. KIM L ARNOLD (OWNER) |
| Authorized Official Telephone | 3126710516 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers |
| Street Address |
8100 S STONY ISLAND AVE UNIT F |
| City | CHICAGO |
| State | IL |
| Zip Code | 60617-1734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518599968 | Kenyatta Butcher | Specialist | 8100 S Stony Island Ave, Chicago, IL 60617-1734 | 2020-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102921 | Manuel Lule | Physical Therapy Assistant | 9535 S Jeffery Boulevard, Chicago, IL 60617 | 2020-07-24 |
| 1083253546 | Vanaja Thotten | Internal Medicine | 8012 S.crandon Ave, Chicago, IL 60617 | 2020-01-02 |
| 1427527365 | Stony Island Dental PC | Dentist | 1600 E 93rd Street, Chicago, IL 60617 | 2018-11-21 |
| 1871060301 | Tamika Nicole Whitehead | Social Worker | 2822 East 83rd Street, Chicago, IL 60617 | 2018-11-02 |
| 1528543774 | Felicia Nwankwo | Nurse Practitioner | 2822 E 83rd Street Bradond Famiy Health Cener, Chicago, IL 60617 | 2018-10-03 |
| 1972099307 | David Phan | Optometrist | 1753 E 95th St Ste B-100, Chicago, IL 60617 | 2018-07-09 |
| 1831607340 | Pamela Evette Ewing | Counselor | 9145 S. Merrill Ave, Chicago, IL 60617 | 2018-01-18 |
| 1366976631 | Ali Mostafa Serhal | Radiology | 240 E. Huron St, Suite 1-203, Chicago, IL 60617 | 2017-04-13 |
| 1447784921 | 1915-25 95th St., LLC | Clinic/Center | 1915 E 95th St, Chicago, IL 60617 | 2017-04-12 |
| 1881140408 | Yeferson Laverde | Social Worker | 3062 East 31st, Chicago, IL 60617 | 2016-09-01 |
| Find all providers in zip 60617 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528509833 | International Medical Equipment Distributors LLC | Durable Medical Equipment & Medical Supplies | 8501 W Higgins Rd Ste 710, Chicago, IL 60631-2883 | 2017-03-20 |
| 1851785224 | Floss Dental Studio PC | Durable Medical Equipment & Medical Supplies | 924 N Damen Ave, Chicago, IL 60622-4948 | 2015-03-24 |
| 1972926012 | Mts Direct Inc | Durable Medical Equipment & Medical Supplies | 4734 S Prairie Ave Unit 1, Chicago, IL 60615-1206 | 2014-01-24 |
| 1659501500 | The Board of Trustees of The University of Illinois | Durable Medical Equipment & Medical Supplies | 811 S Paulina St, 118 Dent, Mc 588, Chicago, IL 60612-4353 | 2009-07-24 |
| 1124286927 | Footco Orthopedic | Durable Medical Equipment & Medical Supplies | 3723 N Southport Ave, Chicago, IL 60613-3718 | 2008-05-28 |
| 1528250669 | Premier Podiatry Services, Ltd | Durable Medical Equipment & Medical Supplies | 6374 N Lincoln Ave Ste 303, Chicago, IL 60659-1283 | 2007-08-13 |
| 1083769202 | Luna Medical Inc. | Durable Medical Equipment & Medical Supplies | 1057 W Grand Ave Ste 1, Chicago, IL 60642-6600 | 2007-01-25 |
| 1629146014 | Kreg Therapeutics, Inc. | Durable Medical Equipment & Medical Supplies | 2240 W Walnut St, Chicago, IL 60612-2218 | 2006-12-01 |
| 1568417319 | Absolute Medical, Inc. | Durable Medical Equipment & Medical Supplies | 1843 W Hubbard St, Suite 2a, Chicago, IL 60622-6236 | 2006-05-23 |
| 1457897332 | Maria Therese Galang Dmd Ms P C | Durable Medical Equipment & Medical Supplies | 111 N Wabash Ave, Ste 1522, Chicago, IL 60602 | 2017-01-16 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on CROWNING GLORY LACE WIGS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.