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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