Plentiful Hair Studio LLC

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

011.279887 Issued in IL

Legal business name

PLENTIFUL HAIR STUDIO LLC

Practice address

3224 Ridge Rd Ste 203
Lansing, IL 60438-3191

Phone

(708) 529-6000

Fax

(708) 538-1485

NPI assigned

Feb 19, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Myeesha L Sanders, CERTIFIED HAIR LOSSNPI 1366958993

Title

Certified Hair Loss Specialist

Phone

(708) 502-3099

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Myeesha L Sanders, CERTIFIED HAIR LOSS

  • Prosthetics Case Management
  • Calumet City, IL
  • NPI 1366958993
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1144720871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 166TH ST",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604096217",
            "telephone_number": "708-502-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3224 RIDGE RD STE 203",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604383191",
            "telephone_number": "708-529-6000",
            "fax_number": "708-538-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLENTIFUL HAIR STUDIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-19",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "MYEESHA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CERTIFIED HAIR LOSS SPECIALIST",
        "authorized_official_telephone_number": "708-502-3099",
        "authorized_official_credential": "CERTIFIED HAIR LOSS"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "IL",
            "license": "011.279887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetics Case Management in Lansing, IL
• Providers in Lansing, IL by specialty
• Prosthetics Case Management in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.