Organization Active NPI

Charles Feinstein M.D. LTD

  • Urology Physician
  • Northbrook, IL
National Provider Identifier
1639406861
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
CHARLES FEINSTEIN M.D. LTD
Practice address
1955 Raymond Dr
Suite 114
Northbrook, IL 60062-6730
Phone
(847) 291-9058
Fax
(847) 291-9095
NPI assigned
Nov 9, 2009
Last updated
Nov 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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.NPI 1841227675
Title
Owner
Phone
(847) 291-9058

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X Primary

Addresses

Primary practice location

1955 Raymond Dr
Suite 114
Northbrook, IL 60062-6730

Mailing address

2535 Greenview Rd
Northbrook, IL 60062-7031
Phone (847) 291-9058

Other identifiers 2

IdentifierTypeStateIssuer
036064248MedicaidIL
31601232OtherILBLUE CROSS BLUE SHIELD

Other names 1

  • CHARLES FEINSTEIN M.D. Former legal business name

National Provider Directory

National Provider Directory

Locations

1955 Raymond Dr
Northbrook, IL 60062
Phone (847) 291-9058

1955 Raymond Dr
Ste 114
Northbrook, IL 60062
Phone (847) 291-9058

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257724800000",
    "number": "1639406861",
    "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": "1955 RAYMOND DR",
            "address_2": "SUITE 114",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600626730",
            "telephone_number": "847-291-9058",
            "fax_number": "847-291-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES FEINSTEIN M.D. LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-09",
        "last_updated": "2009-11-09",
        "status": "A",
        "authorized_official_last_name": "FEINSTEIN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-291-9058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036064248",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "31601232",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHARLES FEINSTEIN M.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.