GOLD COAST PLASTIC SURGERY LLC – NPI #1821268772
Otolaryngology

An otolaryngologist who specializes in facial plastic surgery.

Health Care Provider Taxonomy Code for Otolaryngology

GOLD COAST PLASTIC SURGERY LLC is an otolaryngologist located in CHICAGO, IL. NPPES has assigned the NPI number 1821268772 to GOLD COAST PLASTIC SURGERY LLC on March 06, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207YS0123X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology, specializing in Facial Plastic Surgery

The NPI profile was previously updated about 17 years ago on Jan 06, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GOLD COAST PLASTIC SURGERY LLC below.

NPI Profile for
GOLD COAST PLASTIC SURGERY LLC

NPI Number
1821268772
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GOLD COAST PLASTIC SURGERY LLC
Primary location
1 E ERIE ST
SUITE 640
CHICAGO, IL 60611-2740
Phone: (312) 988-9300 Fax: (312) 988-9310
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARY FORDE
OFFICE MANAGER
Phone: (312) 988-9300
Updated
Identifiers

Identifiers for GOLD COAST PLASTIC SURGERY LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERNPIIL1548342355
OTHERUPINH92062
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207YS0123X
- Otolaryngology / Facial Plastic Surgery (Primary)		 IL 036104040

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.