MEDICARE: JOHN CRAGER ALTERNATIVES FOR YOUR HAIR, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1770823577
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHN CRAGER ALTERNATIVES FOR YOUR HAIR, INC.

Provider Business Mailing Address
First Line	:	2167 N CLYBOURN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-4035
Country	:	US
Telephone Number	:	773-248-6844
Fax Number	:

Provider Business Practice Location Address
First Line	:	2167 N CLYBOURN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-4035
Country	:	US
Telephone Number	:	773-248-6844
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JOHN CRAGER
Credential	:
Telephone Number	:	773-248-6844

Provider Enumeration Date	:	02/15/2013
Last Update Date	:	08/04/2015

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