Northshore Star Facial Plastic Surgery LLC

NPI #1730930447 in Deerfield, Illinois

Provider Information

NPI Number: 1730930447
Entity Type: Organization
Organization Name: Northshore Star Facial Plastic Surgery LLC
Primary Specialty: Plastic Surgery - Plastic Surgery Within the Head and Neck
Enumeration Date: Mar 29, 2024
Last Updated: Mar 29, 2024

Practice Location

Address: 700 OSTERMAN AVE
City: Deerfield
State: Illinois
ZIP Code: 60015-4375
Phone: (224) 513-6500

Authorized Official

Name: DR. DIANA MANDEL-TATCH, DDS
Title: PRACTICE ADMIN
Phone: (972) 898-5336

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery - Plastic Surgery Within the Head and Neck — Plastic Surgery Within the Head and Neck	2082S0099X	Primary

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DR. Chad Allen Purnell, M.D.	Plastic Surgery - Plastic Surgery Within the Head and Neck	Chicago	AI Deep Dive
Tulsi Pravin Roy, MD	Plastic Surgery - Plastic Surgery Within the Head and Neck	Aurora	AI Deep Dive
DR. Nancy Ellen Klein, DDS	Dentist - General Practice	Deerfield	AI Deep Dive

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