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General NPI Number Information
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NPI Number | 1558554782
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Entity Type | Individual
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Provider Name | MELINDA FAIER M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/21/2007
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Last Update Date | 10/12/2012
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Provider Practice Location Address
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Address Line | 566 W ADAMS ST SUITE 600
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City | CHICAGO
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State | IL
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Zip | 60661-3677
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Country | US
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Telephone | 312-659-3811
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Fax | 312-382-9200
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Provider Business Mailing Address
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Address Line | 566 W ADAMS ST SUITE 600
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City | CHICAGO
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State | IL
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Zip | 60661-3677
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Country | US
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Telephone | 312-659-3811
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Fax | 312-382-9200
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 243203
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 036.120979
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License Number State | IL
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