# CHICAGO NOSE AND SINUS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477184562
- **Authorized official:** SIVA ELANGOVAN MD (MEMBER)
- **Authorized official phone:** (708) 689-4770

## Contact information

- **Practice address:** 680 N LAKE SHORE DR STE 1425, CHICAGO, IL 60611-4451
- **Practice address phone:** (312) 480-1387
- **Mailing address:** 2549 WAUKEGAN RD STE 110, BANNOCKBURN, IL 60015-1569
- **Mailing address phone:** (708) 689-4770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | NULL | Yes |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/28/2020
- **Last updated:** 08/09/2021