FAYCOR N A INC NPI 1033348206

NPI Information

NPI: 1033348206
Provider Name: FAYCOR N A INC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
4700 N MARINE DR
5TH FLOOR
CHICAGO, IL
ZIP 60640
Phone: (847) 291-9058
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FAYCOR N A INC is an ambulatory surgical clinic center in Chicago, IL. FAYCOR N A INC NPI is 1033348206. The provider is registered as an organization entity type.

The provider's business location address is:

4700 N MARINE DR
5TH FLOOR
CHICAGO, IL
ZIP 60640-120
Phone: (847) 291-9058
Fax: (847) 291-9095

The provider's authorized official is Charles M Feinstein .
The authorized official title is Medical Director and has the following contact phone number (847) 291-9058.

The enumeration date for this NPI number is 7/9/2009 and was last updated on 12/14/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	036064248	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C46183	MEDICARE UPIN
2	036064248	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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