Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lovely Layed Wig Shop LLC

Organization Prosthetic/Orthotic Supplier · NPI 1790403350

Lovely Layed Wig Shop LLC is a Prosthetic/Orthotic Supplier in Country Club Hills, Illinois. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4007 167th St
Country Club Hills, IL 60478-2022
Phone: (708) 551-5579
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7916 S Western Ave Ste 2, Chicago, IL 60620-5911 — (773) 424-4122

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1790403350
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dericka Cooper — Owner · (773) 603-8535
NPI enumeratedAugust 19, 2022
Last updated in NPPESAugust 19, 2022
Certification dateAugust 19, 2022
Mailing address7565 S Hoyne Ave, Chicago, IL 60620-5736