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Organization
CHICAGO CENTER FOR FACIAL PLASTIC SURGERY, S.C.
Active
Organization
CHICAGO CENTER FOR FACIAL PLASTIC SURGERY, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN DAYAN M.D. (PRESIDENT)
(312) 335-2070
Entity
Organization
Contact information
Practice address
845 N MICHIGAN AVE, 9TH FLOOR EAST, CHICAGO, IL 60611-2252
(312) 335-2070
(312) 335-2074
Mailing address
PO BOX 388320, CHICAGO, IL 60638-8320
(773) 767-4600
(773) 767-8320
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01622973
BLUE SHIELD
IL
01
—
040015132
RAILROAD MEDICARE
—
Enumeration date
07/21/2006
Last updated
08/27/2009
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