Organization
CHICAGO NOSE AND SINUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIVA ELANGOVAN MD (MEMBER)
(708) 689-4770
Entity
Organization
Contact information
Practice address
680 N LAKE SHORE DR STE 1425, CHICAGO, IL 60611-4451
(312) 480-1387
Mailing address
2549 WAUKEGAN RD STE 110, BANNOCKBURN, IL 60015-1569
(708) 689-4770
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
01/28/2020
Last updated
08/09/2021
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