Organization
THAT FACE PLLC
Active
Organization
THAT FACE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMOTARA SULYMAN (PRESIDENT)
(312) 883-0183
Entity
Organization
Contact information
Practice address
2448 N LINCOLN AVE, CHICAGO, IL 60614-2415
(312) 883-0183
Mailing address
2448 N LINCOLN AVE, CHICAGO, IL 60614-2415
(312) 883-0183
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
08/27/2021
Last updated
12/09/2021
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