GOLD COAST PLASTIC SURGERY LLC
Medical Practice at Erie St, Chicago, IL

License number
Illinois 036104040
Category
Medical Practice
Type
Facial Plastic Surgery
Owner
Name: MARY G. FORDE
Title: OFFICE MANAGER
Phone: (312) 988-9300
Address
Address
1 E Erie St SUITE 640, Chicago, IL 60611
National Provider ID: 1821268772
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GOLD COAST PLASTIC SURGERY, LLC

1 E Erie, Chicago, IL 60611

Status:
Inactive
Doing business as:
gold coast Cosmetic Surgery<br>Gold Coast Plastic Surgery
Registration:
Mar 3, 2004
Phone:
(312) 988-9300 (Phone)
State ID:
01126393
Business type:
Domestic LLC
Expiration:
Perpetual
George Moynihan
Agent:
Steven M Harris,300 N Lasalle St STE 2100, Chicago, IL 60654 (Physical)
Categories:
Physicians & Surgeons - Cosmetic, Plastic & Reconstructive Surgery, Physicians & Surgeons - Medical-M.D., ...

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