Healthcare Provider Details

I. General information

NPI: 1801728043
Provider Name (Legal Business Name): RE'LUX HAIR STUDIO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

703 S 5TH AVE
MAYWOOD IL
60153-2008
US

IV. Provider business mailing address

703 S 5TH AVE
MAYWOOD IL
60153-2008
US

V. Phone/Fax

Practice location:
  • Phone: 708-111-1111
  • Fax:
Mailing address:
  • Phone:
  • 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 TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: ROYNETTA ROYNETTA TRIPP
Title or Position: FOUNDER & MEDICAL HAIR RESTORATION
Credential:
Phone: 708-417-1187