Individual
DR. ALEXANDER FEOKTISTOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
191 WAUKEGAN RD STE 300, NORTHFIELD, IL 60093-2744
(773) 948-7557
(773) 948-7558
Mailing address
191 WAUKEGAN RD STE 300, NORTHFIELD, IL 60093-2744
(773) 948-7557
(773) 948-7558
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
036124141
IL
Other
Enumeration date
11/16/2009
Last updated
10/24/2025
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