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MODERN ENT AND FACE SC NPI 1710583307


NPI Information

NPI: 1710583307
Provider Name: MODERN ENT AND FACE SC
Classification: Otolaryngology - 207YS0123X
Entity Type: Organization

Specialization: Facial Plastic Surgery

Address:
980 N MICHIGAN AVE STE 1100
CHICAGO, IL
ZIP 60611
Phone: (312) 877-5522
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MODERN ENT AND FACE SC is a facial plastic surgery otolaryngology in Chicago, IL. The provider is an otolaryngologist who specializes in facial plastic surgery. MODERN ENT AND FACE SC NPI is 1710583307. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

980 N MICHIGAN AVE STE 1100
CHICAGO, IL
ZIP 60611-529
Phone: (312) 877-5522
Fax: (312) 877-5521

The provider's authorized official is Sehjin Han .
The authorized official title is President and has the following contact phone number (312) 877-5522.

The enumeration date for this NPI number is 12/8/2020 and was last updated on 1/8/2022.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207YS0123XOtolaryngologyFacial Plastic SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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