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HEAD & NECK COSMETIC SURGERY ASSOCIATES LLC

Allergy and Immunology

Skokie, Illinois

Provider NPI: 1558330811

Organization Information:
Organization Name:  HEAD & NECK COSMETIC SURGERY ASSOCIATES LLC


Practice Location:
8930 GROSS POINT RD STE 700  SKOKIE, IL 60077 US
Tel: 773-262-4110  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207K00000XPhysicians
Allergy & Immunology
IL036087798
N207YS0012XPhysicians
Otolaryngology
IL036047479
Y207Y00000XPhysicians
Otolaryngology
IL036047479

Other Provider Identifiers:

IssuerNumberStateType
RAILROAD MEDICARECC4902IL01
BLUE CROSS BLUE SHIELD01623471IL01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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