Search › Illinois › 1744P3200X
Kenyatta Butcher, HAIR LOSS SPECIALIST
NPI 1518599968 · on the registry since 2020 · sole proprietor
Practice
- Address
- 8100 S Stony Island Ave
Chicago, IL 60617 - Phone
- (312) 623-9966
- Organisation at this address
- Crowning Glory Lace Wigs
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1744P3200X
1744P3200X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-02-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois