Modern ENT and Face SC

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

Legal business name

MODERN ENT AND FACE SC

Practice address

980 N Michigan Ave Ste 1100
Chicago, IL 60611-4529

Phone

(312) 877-5522

Fax

(312) 877-5521

NPI assigned

Dec 8, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Sehjin Han, MDNPI 1114005600

Title

President

Phone

(312) 877-5522

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: sehjinhan@direct.practicefusion.com

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sehjin Han, MD

  • Facial Plastic Surgery Physician
  • Chicago, IL
  • NPI 1114005600
  Medicare reassignment NPD Authorized official
• Stephen Philip Becker, M.D,

  • Otolaryngology/Facial Plastic Surgery Physician
  • Chicago, IL
  • NPI 1831184001
  NPD (past)

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641600000000",
    "number": "1710583307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 N MICHIGAN AVE STE 1100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114529",
            "telephone_number": "312-877-5522",
            "fax_number": "312-877-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 N MICHIGAN AVE STE 1100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114529",
            "telephone_number": "312-877-5522",
            "fax_number": "312-877-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN ENT AND FACE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2022-01-08",
        "certification_date": "2022-01-08",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "SEHJIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-877-5522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sehjinhan@direct.practicefusion.com",
            "affiliation": "N",
            "address_1": "980 N Michigan Ave Ste 1100",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606114529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Modern Compassionate Counseling
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• Modern Dental on Clark Street
• Modern Dental on Division
• Modern Dental on Sheffield
• Modern Eye Caer LTD
• Modern Health & Body Inc
• Modern Insight Therapy PLLC
• Modern Mental Health by Dr. Zachary Kordik, PLLC
• Modern Mind Counseling, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.