MEDICARE: HAIR FOR YOU SALON

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	174400000X	Specialist	011210020	IL

General Provider Information

NPI Number	:	1811292188
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAIR FOR YOU SALON

Provider Business Mailing Address
First Line	:	737 E DUNDEE RD
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-1542
Country	:	US
Telephone Number	:	847-259-4968
Fax Number	:

Provider Business Practice Location Address
First Line	:	737 E DUNDEE RD
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-1542
Country	:	US
Telephone Number	:	847-259-4968
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LINDA J DIFRONZO
Credential	:
Telephone Number	:	847-259-4968

Provider Enumeration Date	:	01/18/2011
Last Update Date	:	01/18/2011

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Directions to “HAIR FOR YOU SALON ” Practice Location

Language	Start Address	Practice Location

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