Organization
HEAD & NECK COSMETIC SURGERY ASSOCIATES LLC
Active
Other names
Head & Neck And Cosmetic Surgery Associates Ltd
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL FRIEDMAN M.D. (PRESIDENT)
(773) 296-5500
Entity
Organization
Contact information
Practice address
8930 GROSS POINT RD STE 700, SKOKIE, IL 60077
(773) 262-4110
Mailing address
PO BOX 809094, CHICAGO, IL 60680-9094
(847) 676-0091
(312) 236-5162
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
036087798
IL
207Y00000X
Otolaryngology Physician
Primary
036047479
IL
207YS0012X
Sleep Medicine (Otolaryngology) Physician
036047479
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01623471
BLUE CROSS BLUE SHIELD
IL
01
—
CC4902
RAILROAD MEDICARE
IL
Enumeration date
03/17/2006
Last updated
05/03/2019
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