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

Brandi Ambrose, HAIRLOSSSPT

Individual provider Prosthetics Case Management · NPI 1790305613

Brandi Ambrose, HAIRLOSSSPT is a Prosthetics Case Management in Evergreen Pk, Illinois. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

3408 W 95th St
Evergreen Pk, IL 60805-2204
Phone: (773) 621-1199
Show map & directions

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

Specialties & licences

Prosthetics Case Management (primary) Taxonomy 1744P3200X

Record details

NPI number1790305613
Entity typeIndividual (Type 1)
GenderFemale
Credentials HAIRLOSSSPT
Sole proprietorYes
NPI enumeratedApril 21, 2020
Last updated in NPPESApril 21, 2020
Certification dateApril 21, 2020