Organization · Type 2 NPI
Modern Ent and Face SC
Facial Plastic Surgery Physician · Chicago, IL
NPI number
1710583307
Active
Practice location
980 N Michigan Ave Ste 1100
Chicago, IL 60611-4529
Fax (312) 877-5521
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Facial Plastic Surgery Physician Primary | 207YS0123X | None listed |
Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.
Another provider at this address
Other facial plastic surgery physician providers in Chicago
About NPI 1710583307
Modern Ent and Face SC's National Provider Identifier is 1710583307, issued on Dec 8, 2020. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Chicago, IL. The record was last updated on Jan 8, 2022.