Crown N Glow Cranial Prosthesis Company

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Legal business name

CROWN N GLOW CRANIAL PROSTHESIS COMPANY

Practice address

3911 Sauk TRL
Richton Park, IL 60471-1339

Phone

(708) 965-3118

NPI assigned

Sep 17, 2026

Organization subpart

No

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

Authorized official

Name

Isha Wardell

Title

President

Phone

(708) 724-8715

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1789603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1467364380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 SAUK TRL",
            "city": "RICHTON PARK",
            "state": "IL",
            "postal_code": "604711339",
            "telephone_number": "708-965-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 SAUK TRL",
            "city": "RICHTON PARK",
            "state": "IL",
            "postal_code": "604711339",
            "telephone_number": "708-965-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN N GLOW CRANIAL PROSTHESIS COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-17",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "WARDELL",
        "authorized_official_first_name": "ISHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-724-8715"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.