Individual
MICHAEL EGGERSTEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 W HARRISON ST STE 550, CHICAGO, IL 60612-4861
(312) 942-6100
Mailing address
1611 W HARRISON ST STE 550, CHICAGO, IL 60612-4861
(312) 942-6100
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
036161063
IL
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
036161063
IL
Other
Enumeration date
04/14/2016
Last updated
11/06/2024
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