Individual provider Active NPI

Felissa B. Kreindler, MD

  • Pediatrics Physician
  • Round Lake Beach, IL
National Provider Identifier
1184664427
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036-095638 Issued in IL
Practice address
1000 E Rollins Rd
Round Lake Beach, IL 60073-2228
Phone
(847) 367-5400
Fax
(847) 367-4769
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036-095638 IL Primary

Addresses

Primary practice location

1000 E Rollins Rd
Round Lake Beach, IL 60073-2228

Mailing address

1000 E Rollins Rd
Round Lake Beach, IL 60073-2228
Phone (847) 367-5400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fkreindler11827@direct.northshore.org

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
I20120405000565 IL Practitioner - Pediatric Medicine 8022279777 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-095638ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince May 1, 2012 Accepting new patients
Endeavor Health Medical Group Pediatrics Current Accepting new patients
Vernon Hills Pediatric Associates Pediatrics Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

49 S Waukegan Rd
Ste 200
Deerfield, IL 60015
Phone (847) 945-4575

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

731 S State Route 21
Ste 130
Gurnee, IL 60031
Phone (847) 566-3337

1000 E Rollins Rd
Round Lake Beach, IL 60073
Phone (847) 367-5400

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1184664427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E ROLLINS RD",
            "city": "ROUND LAKE BEACH",
            "state": "IL",
            "postal_code": "600732228",
            "telephone_number": "847-367-5400",
            "fax_number": "847-367-4769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E ROLLINS RD",
            "city": "ROUND LAKE BEACH",
            "state": "IL",
            "postal_code": "600732228",
            "telephone_number": "847-367-5400",
            "fax_number": "847-367-4769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREINDLER",
        "first_name": "FELISSA",
        "middle_name": "B.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-095638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fkreindler11827@direct.northshore.org",
            "affiliation": "N",
            "address_1": "1000 E Rollins Rd",
            "city": "Round Lake Beach",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600732228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Round Lake Beach, IL

Sources for this page

Verify at the official NPI Registry.