Provider Demographics
NPI:1609324508
Name:SENSITIVE HEALTH & BEAUTY SOLUTIONS LLC
Entity Type:Organization
Organization Name:SENSITIVE HEALTH & BEAUTY SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HAIR LOSS SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:GIGI
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFIED
Authorized Official - Phone:773-621-3603
Mailing Address - Street 1:141 E GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:BENSENVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60106-3635
Mailing Address - Country:US
Mailing Address - Phone:773-621-3603
Mailing Address - Fax:
Practice Address - Street 1:141 E GRAND AVE
Practice Address - Street 2:
Practice Address - City:BENSENVILLE
Practice Address - State:IL
Practice Address - Zip Code:60106-3635
Practice Address - Country:US
Practice Address - Phone:773-621-3603
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-20
Last Update Date:2016-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL011310224335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier