Name: THAT FACE PLLC Specialty: Otolaryngology/Facial Plastic Surgery Physician Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Practice Type: Allopathic & Osteopathic Physicians Classification: Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery. Definition of Specialty: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
License & NPI
License #(s): , , , , License State(s): , , , ,
Practice Location: THAT FACE PLLC,2448 N LINCOLN AVE,CHICAGO,IL,606142415,US Mailing Address: THAT FACE PLLC,2448 N LINCOLN AVE,CHICAGO,IL,606142415,US
Practice location phone #: 3128830183 Practice location fax #: Mailing address Phone #: 3128830183 Mailing Address fax #: Authorized official Name/Telephone #:OMOTARA, SULYMAN, PRESIDENT 3128830183
Date NPI was obtained: 08/27/2021 Last data data was updated: 12/09/2021 Insurances: