Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | IL | |
N | 207NS0135X | Procedural Dermatology | IL |
NPI | 1043307390 |
---|---|
Provider Name | James Steven Feinberg |
First Address | Chicago, IL 60611-4419 |
Second Address | Chicago, IL 60612-4319 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2006 |
Last Update Date | 08/07/2007 |