THAT FACE PLLC NPI 1619644523

NPI Information

THAT FACE PLLC is an otolaryngology/facial plastic surgery otolaryngology in Chicago, IL. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. THAT FACE PLLC NPI is 1619644523. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2448 N LINCOLN AVE
CHICAGO, IL
ZIP 60614-415
Phone: (312) 883-0183

The provider's authorized official is Omotara Sulyman .
The authorized official title is President and has the following contact phone number (312) 883-0183.

The enumeration date for this NPI number is 8/27/2021 and was last updated on 12/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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