# FAYCOR N A INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DR.CHARLES FEINSTEIN
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1033348206
- **Legal business name:** DR.CHARLES FEINSTEIN
- **Authorized official:** DR. CHARLES M FEINSTEIN M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (847) 291-9058

## Contact information

- **Practice address:** 4700 N MARINE DR, 5TH FLOOR, CHICAGO, IL 60640-5120
- **Practice address phone:** (847) 291-9058
- **Practice address fax:** (847) 291-9095
- **Mailing address:** 2535 GREENVIEW RD, NORTHBROOK, IL 60062-7031
- **Mailing address phone:** (847) 291-9058
- **Mailing address fax:** (847) 291-9095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 036064248 | IL | Yes |

## Other

- **Enumeration date:** 07/09/2009
- **Last updated:** 12/14/2009