Individual provider Active NPI

Douglas R. Finlayson, MD

  • Family Medicine Physician
  • Glen Ellyn, IL
National Provider Identifier
1134225543
Registry record updated Jan 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36-42256 Issued in IL
Practice address
364 Pembroke LN
Apt 4
Glen Ellyn, IL 60137-6643
Phone
(224) 392-5796
Fax
(773) 360-2508
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 36-42256 IL Primary

Addresses

Primary practice location

364 Pembroke LN
Apt 4
Glen Ellyn, IL 60137-6643

Mailing address

2217 N Lincoln Ave
Chicago, IL 60614-3717
Phone (773) 880-9090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060410000244 IL Practitioner - Family Practice 8729097308 Practice locations: Glen Ellyn, IL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36-42256ILMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579305600000",
    "number": "1134225543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606143717",
            "telephone_number": "773-880-9090",
            "fax_number": "773-409-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 PEMBROKE LN",
            "address_2": "APT 4",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601376643",
            "telephone_number": "224-392-5796",
            "fax_number": "773-360-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINLAYSON",
        "first_name": "DOUGLAS",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-01-18",
        "certification_date": "2020-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "36-42256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ellyn, IL

Sources for this page

Verify at the official NPI Registry.