Healthcare Provider Details

I. General information

NPI: 1073374187
Provider Name (Legal Business Name): FINKELSTEIN EYE CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2024
Last Update Date: 01/17/2024
Certification Date: 01/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 W ELM ST
STREATOR IL
61364-2127
US

IV. Provider business mailing address

102 W ELM ST
STREATOR IL
61364-2127
US

V. Phone/Fax

Practice location:
  • Phone: 815-672-4600
  • Fax: 815-672-3333
Mailing address:
  • Phone: 815-672-4600
  • Fax: 815-672-3333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: RACHEL MARIE PUCKETT
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 815-672-4600