Healthcare Provider Details

I. General information

NPI: 1336114560
Provider Name (Legal Business Name): ROBIN FINTEL M.D.S.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2006
Last Update Date: 09/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

737 N. MICHIGAN AVE SUITE 960
CHICAGO IL
60611-6659
US

IV. Provider business mailing address

P.O. BOX 1418
PARK RIDGE IL
60068-1418
US

V. Phone/Fax

Practice location:
  • Phone: 312-926-1600
  • Fax: 312-926-7400
Mailing address:
  • Phone: 847-430-6450
  • Fax: 866-869-5175

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBIN RANDALL FINTEL
Title or Position: PHYSICIAN/OWNER
Credential: MD
Phone: 312-926-1600