Organization · Type 2 NPI
Gold Coast Plastic Surgery LLC
Facial Plastic Surgery Physician · Chicago, IL
NPI number
1821268772
Active
Practice location
1 E Erie St, Suite 640
Chicago, IL 60611-2740
Fax (312) 988-9310
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Facial Plastic Surgery Physician Primary | 207YS0123X | 036104040 (IL) |
Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.
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About NPI 1821268772
Gold Coast Plastic Surgery LLC's National Provider Identifier is 1821268772, issued on Mar 6, 2008. 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 6, 2009.