OrganizationActive
Bedazzled Salon and Spa
NPI 1124309919 · Specialist · Roscoe, IL
Provider details
- NPI number
- 1124309919
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Anthony Jenkins, Owner(815) 389-4965
Specialties & taxonomies
Other Service Providers
Practice location
11708 Main St
Roscoe, IL 61073-9566
Phone: (815) 389-4965
Approximate (ZIP-level) locationGet directions
Mailing address
11708 Main St
Roscoe, IL 61073-9566
Registry dates
- Enumerated
- 2011-09-07
- Last updated
- 2011-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.