Healthcare Provider Details

I. General information

NPI: 1932511557
Provider Name (Legal Business Name): BARA FINTEL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2014
Last Update Date: 06/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 N LAKE SHORE DR SAINT JOSEPH HOSPITAL-CHICAGO
CHICAGO IL
60657-5640
US

IV. Provider business mailing address

2900 N LAKE SHORE DR SAINT JOSEPH HOSPITAL-CHICAGO
CHICAGO IL
60657-5640
US

V. Phone/Fax

Practice location:
  • Phone: 773-665-6730
  • Fax: 775-665-3401
Mailing address:
  • Phone: 773-665-6730
  • Fax: 775-665-3401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: