Envisioning Crown Wigs Cranial Prosthesis Specialist LLC

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Legal business name

ENVISIONING CROWN WIGS CRANIAL PROSTHESIS SPECIALIST LLC

Practice address

475 Brown Blvd Ste 102
Bourbonnais, IL 60914-2325

Phone

(815) 937-7962

Fax

(815) 936-8650

NPI assigned

Sep 5, 2025

Organization subpart

No

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

Authorized official

Name

Ms. Camela Rosenthal, C.P.S.NPI 1548148786

Title

Ceo

Phone

(815) 386-6568

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Camela Rosenthal

  • Prosthetics Case Management
  • Bourbonnais, IL
  • NPI 1548148786
  NPD Authorized official

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

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1760362198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 BROWN BLVD STE 102",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142325",
            "telephone_number": "815-937-7962",
            "fax_number": "815-936-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 BROWN BLVD STE 102",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142325",
            "telephone_number": "815-937-7962",
            "fax_number": "815-936-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISIONING CROWN WIGS CRANIAL PROSTHESIS SPECIALIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "ROSENTHAL",
        "authorized_official_first_name": "CAMELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "815-386-6568",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "C.P.S."
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetics Case Management in Bourbonnais, IL
• Providers in Bourbonnais, 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 Sep 5, 2025; 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.