GOLD COAST PLASTIC SURGERY LLC
NPI 1821268772
Otolaryngology - Facial Plastic Surgery in Chicago, IL

Active since March 06, 2008
1 E ERIE ST, SUITE 640, CHICAGO, IL 60611(312) 988-9300(312) 988-9310 Get Directions Write a Review

NPPES record last updated: January 6, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Gold Coast Plastic Surgery Llc NPPES

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

GOLD COAST PLASTIC SURGERY LLC (NPI 1821268772) is a healthcare organization registered as a facial plastic surgery in Chicago, Illinois and active in the NPI registry since March 2008. The organization lists Mary G. Forde, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1821268772
Entity TypeOrganization
Primary Taxonomy207YS0123X
Legal Business NameGOLD COAST PLASTIC SURGERY LLC
Location Address1 E ERIE ST, SUITE 640Chicago, IL 60611-2740
Mailing Address1 E Erie St, Suite 640Chicago, IL 60611-2740 · (312) 988-9300 · Fax (312) 988-9310
Fax(312) 988-9310
Organization SubpartNo
Authorized OfficialMary G. FordeOffice Manager · (312) 988-9300
Enumeration DateMarch 6, 2008
Last NPPES UpdateJanuary 6, 2009
NPI 1821268772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
License Licensed in IL · 036104040
Definition

An otolaryngologist who specializes in facial plastic surgery.

1 E ERIE ST, Chicago, IL 60611

Other Identifiers 3

Other1548342355IL · Npi
OtherH92062Upin
Medicare PIN210428IL

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


The following 20 providers are registered at the same or a nearby location.

Anesthesiology
1 E ERIE ST, SUITE 300
CHICAGO, IL 60611
Nurse Anesthetist, Certified Registered
1 E ERIE ST, SUITE 300
CHICAGO, IL 60611
Psychiatry & Neurology (Psychiatry)
1 E ERIE ST, SUITE 355
CHICAGO, IL 60611
Nurse Anesthetist, Certified Registered
1 E ERIE ST, SUITE 300
CHICAGO, IL 60611
Anesthesiology
1 E ERIE ST
CHICAGO, IL 60611
Psychiatry & Neurology (Psychiatry)
1 E ERIE ST, SUITE 355
CHICAGO, IL 60611
Psychologist (Clinical)
1 E ERIE ST, SUITE 355
CHICAGO, IL 60611
Anesthesiology
1 E ERIE ST, SUITE 300
CHICAGO, IL 60611
Social Worker (Clinical)
1 E ERIE ST, SUITE 355
CHICAGO, IL 60611
Clinic/Center (Adult Mental Health)
1 E ERIE ST, 355
CHICAGO, IL 60611
Social Worker (Clinical)
1 E ERIE ST, NO. 355
CHICAGO, IL 60611
Social Worker (Clinical)
1 E ERIE ST, SUITE 355
CHICAGO, IL 60611
Psychiatry & Neurology (Psychiatry)
1 E ERIE ST, SUITE 355
CHICAGO, IL 60611
Clinical Neuropsychologist
1 E ERIE ST, SUITE 353
CHICAGO, IL 60611
Physical Therapist
1 E ERIE ST, SUITE 450
CHICAGO, IL 60611
Otolaryngology (Facial Plastic Surgery)
1 E ERIE ST, SUITE 640
CHICAGO, IL 60611
Surgery
1 E ERIE ST, SUITE 242
CHICAGO, IL 60611
Physical Therapy Assistant
1 E ERIE ST
CHICAGO, IL 60611
Specialist
1 E ERIE ST, SUITE 530
CHICAGO, IL 60611
Physical Therapist
1 E ERIE ST, SUITE 225
CHICAGO, IL 60611

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821268772, enumerated as an "organization" on March 06, 2008.

The provider is located at 1 E ERIE ST SUITE 640 CHICAGO, IL 60611 and the phone number is (312) 988-9300.

Otolaryngology with taxonomy code 207YS0123X and a focus in Facial Plastic Surgery.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.