Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gold Coast Plastic Surgery LLC

Organization Facial Plastic Surgery Physician · NPI 1821268772

Gold Coast Plastic Surgery LLC is a Facial Plastic Surgery Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1 E Erie St Ste 640
Chicago, IL 60611-2740
Phone: (312) 988-9300
Fax: (312) 988-9310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Facial Plastic Surgery Physician (primary) Taxonomy 207YS0123X · Licence 036104040 (IL)

Record details

NPI number1821268772
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Forde — Office Manager · (312) 988-9300
NPI enumeratedMarch 6, 2008
Last updated in NPPESJanuary 6, 2009
Mailing address1 E Erie St, Suite 640, Chicago, IL 60611-2740

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