Active NPI
Marianne Feitl Feitl, MD
- Ophthalmology Physician
- Merrionette Park, IL
National Provider Identifier
1609837376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Practice address
- 11600 S Kedzie Ave
Merrionette Park, IL 60803 - Phone
- (708) 388-4400
- Fax
- (708) 389-3484
- NPI assigned
- Mar 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | IL | Primary |
Addresses
Primary practice location
11600 S Kedzie Ave
Merrionette Park, IL 60803
Mailing address
2640 W 183 St
Homewood, IL 60430
Phone (708) 798-6633
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050728000484 | IL | Practitioner - Ophthalmology | 2860420155 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036077649 | IL | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1609837376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2640 W 183 ST",
"city": "HOMEWOOD",
"state": "IL",
"postal_code": "60430",
"telephone_number": "708-798-6633",
"fax_number": "708-798-6790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11600 S KEDZIE AVE",
"city": "MERRIONETTE PARK",
"state": "IL",
"postal_code": "60803",
"telephone_number": "708-388-4400",
"fax_number": "708-389-3484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEITL",
"first_name": "MARIANNE",
"middle_name": "FEITL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-31",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merrionette Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.