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Organization
NORTHSHORE STAR FACIAL PLASTIC SURGERY LLC
Active
Organization
NORTHSHORE STAR FACIAL PLASTIC SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA MANDEL-TATCH DDS (PRACTICE ADMIN)
(972) 898-5336
Entity
Organization
Contact information
Practice address
700 OSTERMAN AVE, DEERFIELD, IL 60015-4375
(224) 513-6500
Mailing address
700 OSTERMAN AVE, DEERFIELD, IL 60015-4375
(224) 513-6500
Taxonomy
Speciality
Code
Description
License number
State
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Primary
—
—
Other
Enumeration date
03/29/2024
Last updated
03/29/2024
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