PLENTIFUL HAIR STUDIO LLC (NPI# 1144720871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144720871 |
| Entity Type | Organization |
| Organization Name | PLENTIFUL HAIR STUDIO LLC |
| Practice Address |
17504 E Carriageway Dr Ste D Hazel Crest IL 60429 |
| Mailing Address |
324 166th St Calumet City IL 60409-6217 |
| Practice Telephone | 7085023099 |
| Mailing Telephone | 7085023099 |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2018-05-22 |
| Authorized Official Name | MYEESHA L SANDERS (CERTIFIED HAIR LOSS SPECIALIST) |
| Authorized Official Telephone | 7085023099 |
| Authorized Official Credential | CERTIFIED HAIR L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
011.279887 | IL | Other Service Providers |
| Street Address |
17504 E CARRIAGEWAY DR STE D |
| City | HAZEL CREST |
| State | IL |
| Zip Code | 60429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659917987 | Nancy Sinwelski | Technician | 17305 Fisk Street, East Hazelcrest, IL 60429 | 2019-11-21 |
| 1376052142 | Natalie Allen | Counselor | 3518 Birchwood Dr, Hazel Crest, IL 60429 | 2017-09-25 |
| 1730534009 | Lydena Franklin | Counselor | 1909 Cheker Square, East Hazel Crest, IL 60429 | 2016-04-25 |
| 1710331053 | Lauiren Orta | Counselor | 1901 Cheker Square, E Hazel Crest, IL 60429 | 2016-04-22 |
| 1427423367 | Andrea Leigh Warren | Nurse Practitioner | 17800 S. Kedzie Ave, Hazel Crest, IL 60429 | 2015-12-03 |
| 1770969354 | Karriem's Developmental Services | Day Training, Developmentally Disabled Services | 18513 River Road, Hazel Crest, IL 60429 | 2015-08-05 |
| 1073905170 | James Kamper | Physical Therapy Assistant | 1816 W 170th Street, Hazel Crest, IL 60429 | 2015-02-26 |
| 1194066019 | Marilyn C Scott | Psychologist | 18505 Meadow Ln., Hazel Crest, IL 60429 | 2013-03-04 |
| 1649548405 | Supported Independence | Community/Behavioral Health | 17009 Elm Drive, Hazel Crest, IL 60429 | 2011-12-08 |
| 1336422617 | Daryel C. Wilson | Pharmacist | 18301 Pulaski Rd., Hazel Crest, IL 60429 | 2011-09-23 |
| Find all providers in zip 60429 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366059008 | Jena Young | Specialist | 19 Sapphire Ln, Fairview Heights, IL 62208-2641 | 2020-09-27 |
| 1164034633 | Michelle Coburn | Specialist | 8327 S Loomis Blvd, Chicago, IL 60620-3958 | 2020-08-17 |
| 1558988865 | Ebony Roberts | Specialist | 16541 Oak Park Ave, Tinley Park, IL 60477-1752 | 2020-07-02 |
| 1073135729 | Marquita Daniel | Specialist | 9295 159th St Ste 131, Orland Hills, IL 60487-5977 | 2020-05-15 |
| 1760021703 | Monica Bembry | Specialist | 552 N Mannheim Rd Ste B, Hillside, IL 60162-1121 | 2019-12-21 |
| 1164072831 | Brandi Fields | Specialist | 6400 W Main St Ste 3k, Belleville, IL 62223-3806 | 2019-09-16 |
| 1669029096 | Akossiwa Amenyo | Specialist | 625 S Lincoln Ave, O Fallon, IL 62269-2663 | 2019-08-21 |
| 1043878747 | Kermitt Alexander | Specialist | 1575 Sibley Blvd, Calumet City, IL 60409-2304 | 2019-05-29 |
| 1508421579 | Jorell Glass | Specialist | 456 Fulton St Ste 180, Peoria, IL 61602-1292 | 2019-05-06 |
| 1114582368 | Shundrea Neely | Specialist | 10301 Lincoln Trl, Fairview Heights, IL 62208-1829 | 2019-05-03 |
| Find all providers with the same taxonomy | ||||
| City | HAZEL CREST |
| Zip Code | 60429 |
Please comment or provide details below to improve the information on PLENTIFUL HAIR STUDIO LLC.
| 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.