OrganizationActive
Northshore Star Facial Plastic Surgery LLC
NPI 1730930447 · Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician · Deerfield, IL
Provider details
- NPI number
- 1730930447
- Entity type
- Organization
- Primary specialty
- Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Diana Mandel-Tatch, Practice Admin(972) 898-5336
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
700 Osterman Ave
Deerfield, IL 60015-4375
Phone: (224) 513-6500
Approximate (ZIP-level) locationGet directions
Mailing address
700 Osterman Ave
Deerfield, IL 60015-4375
Registry dates
- Enumerated
- 2024-03-29
- Last updated
- 2024-03-29
- Certified
- 2024-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.