Provider Demographics
NPI:1972375210
Name:SHEAR DESIGNS II AND HAIR RESTORATION COMPANY
Entity Type:Organization
Organization Name:SHEAR DESIGNS II AND HAIR RESTORATION COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED HAIR LOSS SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:
Authorized Official - Last Name:KARLL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-331-1990
Mailing Address - Street 1:16126 S PARK AVE # 1N
Mailing Address - Street 2:
Mailing Address - City:SOUTH HOLLAND
Mailing Address - State:IL
Mailing Address - Zip Code:60473-1581
Mailing Address - Country:US
Mailing Address - Phone:708-331-1990
Mailing Address - Fax:
Practice Address - Street 1:16126 S PARK AVE # 1N
Practice Address - Street 2:
Practice Address - City:SOUTH HOLLAND
Practice Address - State:IL
Practice Address - Zip Code:60473-1581
Practice Address - Country:US
Practice Address - Phone:708-331-1990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetistGroup - Multi-Specialty