CHICAGO CENTER FOR FACIAL PLASTIC SURGERY S.C. NPI 1649291014

NPI Information

CHICAGO CENTER FOR FACIAL PLASTIC SURGERY, S.C. is a plastic and reconstructive surgery surgery in Chicago, IL. The provider is a surgeon who specializes in plastic and reconstructive surgery. CHICAGO CENTER FOR FACIAL PLASTIC SURGERY, S.C. NPI is 1649291014. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

845 N MICHIGAN AVE
9TH FLOOR EAST
CHICAGO, IL
ZIP 60611-252
Phone: (312) 335-2070
Fax: (312) 335-2074

The provider's authorized official is Steven Dayan .
The authorized official title is President and has the following contact phone number (312) 335-2070.

The CLIA number assigned to this NPI record is 14D2060944 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/21/2006 and was last updated on 8/27/2009.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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