Active NPI
Ebony Luxe Hair, LLC
- Prosthetic/Orthotic Supplier
- Blue Island, IL
National Provider Identifier
1891699195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- EBONY LUXE HAIR, LLC
- Practice address
- 1510 Broadway St
Blue Island, IL 60406-2708 - Phone
- (773) 603-2276
- NPI assigned
- Oct 8, 2026
- Last updated
- Oct 8, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ebony R Phillips
- Title
- Owner / Managing Member
- Phone
- (773) 603-2276
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | NU | Primary |
Addresses
Primary practice location
1510 Broadway St
Blue Island, IL 60406-2708
Mailing address
1510 Broadway St
Blue Island, IL 60406-2708
Phone (773) 603-2276
Practitioners & affiliated clinicians
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.
-
- Prosthetic/Orthotic Supplier
- Chicago, IL
- NPI 1316792500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791417600000",
"number": "1891699195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 BROADWAY ST",
"city": "BLUE ISLAND",
"state": "IL",
"postal_code": "604062708",
"telephone_number": "773-603-2276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 BROADWAY ST",
"city": "BLUE ISLAND",
"state": "IL",
"postal_code": "604062708",
"telephone_number": "773-603-2276"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EBONY LUXE HAIR, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-08",
"last_updated": "2026-10-08",
"certification_date": "2026-10-08",
"status": "A",
"authorized_official_last_name": "PHILLIPS",
"authorized_official_first_name": "EBONY",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER / MANAGING MEMBER",
"authorized_official_telephone_number": "773-603-2276"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blue Island, IL
- Dental Experts, LLC
- Jacqueline Diaz, FNP-BC
- Jasmine Asuncion Diaz
- Dupage Medical Group, LTD
- Dupage Medical Group, LTD (High Street Pharmacy)
- Emergency Care Physician Services-Blue Island LTD
- Emergency Medicine Physicians of Blue Island, LLC
- Epix Anesthesia of Central Illinois LLC
- Exceptional Case Management LLC
- Expressive Arts Services LLC (Expressive Arts Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.