institution
Gold Coast Plastic Surgery Llc
Facial Plastic Surgery Physician in Chicago, Illinois
NPI 1821268772

Gold Coast Plastic Surgery Llc is a Facial Plastic Surgery Physician based in Chicago, IL and is specialized in Facial Plastic Surgery. Gold Coast Plastic Surgery Llc practices in Chicago, IL. The NPI Number for Gold Coast Plastic Surgery Llc is 1821268772 and holds a License No. 036104040 (Illinois).

The current practice location address for Gold Coast Plastic Surgery Llc is 1 E Erie St, Chicago, IL and can be reached out via phone at 312-988-9300 and via fax at 312-988-9310. You can also correspond with Gold Coast Plastic Surgery Llc through the mailing address at 1 E ERIE ST, CHICAGO, IL - 60611-2740 (mailing address contact number: 312-988-9300).

Location: 1 E Erie St, Chicago, IL, 60611-2740
institution
Provider Profile Details
NPI Number
1821268772
Provider Name
Gold Coast Plastic Surgery Llc
Credential
Provider Entity Type
Organization
Address
1 E Erie St, Chicago, IL, 60611-2740
Phone Number
312-988-9300
Fax Number
312-988-9310
Provider Enumeration Date
03/06/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1548342355 01 IL NPI
H92062 01 UPIN
institution
Provider Business Practice Location Address Details
Address
1 E Erie St
City
State
Zip
60611-2740
Phone Number
312-988-9300
Fax Number
312-988-9310
person
Provider Business Mailing Address Details
Address
1 E Erie St
City
State
Zip
60611-2740
Phone Number
312-988-9300
Fax Number
312-988-9310
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Facial Plastic Surgery
Taxonomy
License No.
036104040 (Illinois)
Definition
An otolaryngologist who specializes in facial plastic surgery.
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