Faycor N a Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

036064248 Issued in IL

Legal business name

FAYCOR N A INC

Practice address

4700 N Marine Dr
5TH Floor
Chicago, IL 60640-5120

Phone

(847) 291-9058

Fax

(847) 291-9095

NPI assigned

Jul 9, 2009

Organization subpart

Yes

Parent organization

DR.CHARLES FEINSTEINAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Charles M Feinstein, M.D.

Title

Medical Director

Phone

(847) 291-9058

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Charles Feinstein MD LTD

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260748800000",
    "number": "1033348206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 GREENVIEW RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600627031",
            "telephone_number": "847-291-9058",
            "fax_number": "847-291-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N MARINE DR",
            "address_2": "5TH FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405120",
            "telephone_number": "847-291-9058",
            "fax_number": "847-291-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYCOR N A INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR.CHARLES FEINSTEIN",
        "enumeration_date": "2009-07-09",
        "last_updated": "2009-12-14",
        "status": "A",
        "authorized_official_last_name": "FEINSTEIN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "847-291-9058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IL",
            "license": "036064248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036064248",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christen C Fay, DPT
• Edward Charles Fay Jr.
• Erika C Fay, MA, LMFT
• Mohamed Fayad, D.D.S.,M.S.
• Yasmin Fayaz, ARNP, FNP-C
• Maureen Claire Faydash, LCSW
• Yazan Muhannad Faydi, PHARMD
• Maureen Fayen, M.D.
• Sucheta Ravindran Fayen
• Rochelle Alexandra Fayngor, MD

• Ambulatory Surgical Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Ambulatory Surgical Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.