Organization
FAYCOR N A INC
Active
Parent organization
DR.CHARLES FEINSTEIN
Organization subpart
Yes
Provider details
NPI number
Legal business name
DR.CHARLES FEINSTEIN
Authorized official
DR. CHARLES M FEINSTEIN M.D. (MEDICAL DIRECTOR)
(847) 291-9058
Entity
Organization
Contact information
Practice address
4700 N MARINE DR, 5TH FLOOR, CHICAGO, IL 60640-5120
(847) 291-9058
(847) 291-9095
Mailing address
2535 GREENVIEW RD, NORTHBROOK, IL 60062-7031
(847) 291-9058
(847) 291-9095
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
036064248
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036064248
—
IL
Enumeration date
07/09/2009
Last updated
12/14/2009
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