Lovely Layed Wig Shop LLC
NPI 1790403350 · Prosthetic/Orthotic Supplier · Country Club Hills, IL
Lovely Layed Wig Shop LLC is a Prosthetic/Orthotic Supplier organization in Country Club Hills, IL (NPI 1790403350).
Provider details
- NPI number
- 1790403350
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Dericka Cooper, Owner(773) 603-8535
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 7916 S Western Ave Ste 2Chicago, IL 60620-5911Phone: (773) 424-4122
Registry dates
- Enumerated
- 2022-08-19
- Last updated
- 2022-08-19
- Certified
- 2022-08-19
Frequently asked questions
- What is Lovely Layed Wig Shop LLC's NPI number?
- Lovely Layed Wig Shop LLC's National Provider Identifier (NPI) is 1790403350, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lovely Layed Wig Shop LLC?
- Lovely Layed Wig Shop LLC is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Lovely Layed Wig Shop LLC located?
- Lovely Layed Wig Shop LLC's practice location on file with NPPES is 4007 167th St, Country Club Hills, IL 60478-2022.
- What is Lovely Layed Wig Shop LLC's phone number?
- The practice phone number listed in the NPPES registry for Lovely Layed Wig Shop LLC is (708) 551-5579.
- Who is the authorized official for Lovely Layed Wig Shop LLC?
- The authorized official listed on Lovely Layed Wig Shop LLC's NPPES record is Dericka Cooper, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lovely Layed Wig Shop LLC's NPI active?
- Yes — Lovely Layed Wig Shop LLC's NPI (1790403350) is active in the NPPES registry as of the last update on 2022-08-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.