Individual
DR. SAMUEL J. FEINBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 N 8TH ST, SPRINGFIELD, IL 62701-1041
(217) 757-6570
Mailing address
301 N 8TH ST, SPRINGFIELD, IL 62701-1041
(217) 757-6570
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036-079852
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020016078
RAILROAD MEDICARE
—
05
—
036079852 1
—
IL
01
—
279500
MEDICARE GROUP
—
Enumeration date
08/01/2006
Last updated
06/06/2016
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