MEDICARE: SPRINGFIELD HAIR RESTORATIONS LLC

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	208200000X	Plastic Surgery Physician

General Provider Information

NPI Number	:	1700718194
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPRINGFIELD HAIR RESTORATIONS LLC

Provider Business Mailing Address
First Line	:	2020 W ILES AVE
Second Line	:
City	:	SPRINGFIELD
State	:	IL
Zip	:	62704-4174
Country	:	US
Telephone Number	:	217-698-3030
Fax Number	:	217-718-5687

Provider Business Practice Location Address
First Line	:	2020 W ILES AVE
Second Line	:
City	:	SPRINGFIELD
State	:	IL
Zip	:	62704-4174
Country	:	US
Telephone Number	:	217-698-3030
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN OWNER
Name	:	SANDRA YEH
Credential	:	MD
Telephone Number	:	217-698-3030

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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Directions to “SPRINGFIELD HAIR RESTORATIONS LLC ” Practice Location

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