Healthcare Provider Details

I. General information

NPI: 1851234645
Provider Name (Legal Business Name): HEADS OVER HILL'S SALON & CRANIAL PROSTHESIS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12822 WESTERN AVE
BLUE ISLAND IL
60406-3490
US

IV. Provider business mailing address

PO BOX 343
OLYMPIA FIELDS IL
60461-0343
US

V. Phone/Fax

Practice location:
  • Phone: 708-824-1421
  • Fax:
Mailing address:
  • Phone: 708-420-9817
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: TANYA HILL-BROWN
Title or Position: MANAGER
Credential:
Phone: 708-420-9817