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NORTHSHORE STAR FACIAL PLASTIC SURGERY LLC
NPI 1730930447
Plastic Surgery - Plastic Surgery Within the Head and Neck in Deerfield, IL

Active since March 29, 2024
700 OSTERMAN AVE, DEERFIELD, IL 60015(224) 513-6500 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Northshore Star Facial Plastic Surgery Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHSHORE STAR FACIAL PLASTIC SURGERY LLC (NPI 1730930447) is a healthcare organization registered as a plastic surgery within the head and neck in Deerfield, Illinois and active in the NPI registry since March 2024. The organization lists Diana Mandel-tatch, Practice Admin, as its authorized official.

NPPES Registry Identity

NPI1730930447
Entity TypeOrganization
Primary Taxonomy2082S0099X
Legal Business NameNORTHSHORE STAR FACIAL PLASTIC SURGERY LLC
Location Address700 OSTERMAN AVEDeerfield, IL 60015-4375
Mailing Address700 Osterman AveDeerfield, IL 60015-4375 · (224) 513-6500
Phone(224) 513-6500
Organization SubpartNo
Authorized OfficialDiana Mandel-tatchPractice Admin · (972) 898-5336
Enumeration DateMarch 29, 2024
NPPES CertifiedMarch 29, 2024
✔ NPI 1730930447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic Surgery · Plastic Surgery Within the Head and NeckAllopathic & Osteopathic Physicians
Taxonomy Code2082S0099X
Definition
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.
700 OSTERMAN AVE, Deerfield, IL 60015
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIANA MANDEL-TATCH D.D.S.
Dentist (General Practice)
700 OSTERMAN AVE
DEERFIELD, IL 60015
Lake County (847) 520-0770

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northshore Star Facial Plastic Surgery LLC's NPI number?

The NPI number for Northshore Star Facial Plastic Surgery LLC is 1730930447. It was assigned to this organization in the NPPES registry on March 29, 2024.

Where is Northshore Star Facial Plastic Surgery LLC located?

Northshore Star Facial Plastic Surgery LLC is located at 700 Osterman Ave, Deerfield, IL 60015. The listed phone number is (224) 513-6500.

What is Northshore Star Facial Plastic Surgery LLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery, specializing in Plastic Surgery Within the Head and Neck, with taxonomy code 2082S0099X.

When was this NPI record last updated?

The NPPES record for Northshore Star Facial Plastic Surgery LLC was last updated on March 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.