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

NPI Status: Active since August 19, 2022

Contact Information

4007 167TH ST
COUNTRY CLUB HILLS, IL
ZIP 60478
Phone: (708) 551-5579

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  • Organization
  • Prosthetic/Orthotic Supplier

About LOVELY LAYED WIG SHOP LLC

This page provides the complete NPI Profile along with additional information for Lovely Layed Wig Shop Llc, a provider established in Country Club Hills, Illinois operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1790403350 assigned on August 2022. The practitioner's primary taxonomy code is 335E00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Dericka Cooper (Owner)

NPI
1790403350
Provider Name
LOVELY LAYED WIG SHOP LLC
Entity Type
Organization
Location Address
4007 167TH ST COUNTRY CLUB HILLS, IL 60478
Location Phone
(708) 551-5579
Mailing Address
7565 S HOYNE AVE CHICAGO, IL 60620
Mailing Phone
(773) 603-8535
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-19-2022
Last Update Date
08-19-2022
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Secondary Locations

  • 7916 S Western Ave Ste 2
    Chicago, IL 60620
    (773) 424-4122

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Prosthetic/Orthotic Supplier

Taxonomy Code
335E00000X
Type
Suppliers
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DERICKA COOPER

Authorized Official Title
OWNER
Authorized Official Phone
(773) 603-8535

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1790403350
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27180806310
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 8 + 0 + 6 + 3 + 1 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1790403350 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790403350, enumerated in the NPI registry as an "organization" on August 19, 2022

The provider is located at 4007 167th St Country Club Hills, Il 60478 and the phone number is (708) 551-5579

This medical organization specializes in Prosthetic/Orthotic Supplier with taxonomy code 335E00000X

This NPI record was last updated on August 19, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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