Healthcare Provider Details

I. General information

NPI: 1932064607
Provider Name (Legal Business Name): SCORPION HEALTH AND BEAUTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4321 S KING DR # 1A
CHICAGO IL
60653-3308
US

IV. Provider business mailing address

4321 S KING DR
CHICAGO IL
60653-3308
US

V. Phone/Fax

Practice location:
  • Phone: 773-816-9740
  • Fax:
Mailing address:
  • Phone: 773-816-9740
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: JUMOKE TILLMAN-HOWELL
Title or Position: FOUNDER/CEO
Credential:
Phone: 773-816-9740