NORTHSHORE STAR FACIAL PLASTIC SURGERY LLC
NPI 1730930447
Plastic Surgery - Plastic Surgery Within the Head and Neck in Deerfield, IL
- Organization
- Plastic Surgery
- Plastic Surgery Within the Head and Neck
About NORTHSHORE STAR FACIAL PLASTIC SURGERY LLC
This page provides the complete NPI Profile along with additional information for Northshore Star Facial Plastic Surgery Llc, a provider established in Deerfield, Illinois operating as a Plastic Surgery, focusing in plastic surgery within the head and neck . The healthcare provider is registered in the NPI registry with number 1730930447 assigned on March 2024. The practitioner's primary taxonomy code is 2082S0099X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Diana Mandel-tatch Dds (Practice Admin)
- NPI
- 1730930447 Verify this NPI
- Provider Name
- NORTHSHORE STAR FACIAL PLASTIC SURGERY LLC
- Entity Type
- Organization
- Location Address
- 700 OSTERMAN AVE DEERFIELD, IL 60015
- Location Phone
- (224) 513-6500
- Mailing Address
- 700 OSTERMAN AVE DEERFIELD, IL 60015
- Mailing Phone
- (224) 513-6500
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-29-2024
- Last Update Date
- 03-29-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Plastic Surgery Plastic Surgery Within the Head and Neck
- Taxonomy Code
- 2082S0099X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730930447, enumerated as an "organization" on March 29, 2024.
The provider is located at 700 OSTERMAN AVE DEERFIELD, IL 60015 and the phone number is (224) 513-6500.
Plastic Surgery with taxonomy code 2082S0099X and a focus in Plastic Surgery Within the Head and Neck.
