Individual
FEINAN SHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 E 51ST ST, CHICAGO, IL 60615-2400
(312) 572-2152
Mailing address
207 ROCKFORD AVE, FOREST PARK, IL 60130-1209
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036109768
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036109768
MEDICAL LICENSE
IL
Enumeration date
03/23/2006
Last updated
04/30/2021
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