That Face PLLC

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

Legal business name

THAT FACE PLLC

Practice address

2448 N Lincoln Ave
Chicago, IL 60614-2415

Phone

(312) 883-0183

NPI assigned

Aug 27, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Omotara Sulyman

Title

President

Phone

(312) 883-0183

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1619644523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142415",
            "telephone_number": "312-883-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142415",
            "telephone_number": "312-883-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THAT FACE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "SULYMAN",
        "authorized_official_first_name": "OMOTARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-883-0183"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamica Tharpe
• Kawana Fantasia Tharps, DNP, APRN, FNP-C
• Watchariyaporn Thasai
• Shaheen Thason
• That Certain Smile
• Avrey Thau, MD
• Saroja Thawani, M.D.
• Jessica Ann Thawley
• Kalyn Thayer
• Mary Patricia Thayer, L.AC.

• Otolaryngology/Facial Plastic Surgery Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.