LOVELY LAYED WIG SHOP LLC is a prosthetic orthotic supplier in Country Club Hills, IL. The provider is 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. LOVELY LAYED WIG SHOP LLC NPI is 1790403350. The provider is registered as an organization entity type.
The provider's business location address is:
4007 167TH ST
COUNTRY CLUB HILLS, IL
ZIP 60478-022
Phone: (708) 551-5579
The provider's authorized official is Dericka Cooper .
The authorized official title is Owner and has the following contact phone number (773) 603-8535.
The enumeration date for this NPI number is 8/19/2022 and was last updated on 8/19/2022.