MEDICARE: FAYCOR N A INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center	036064248	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033348206
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAYCOR N A INC

Provider Business Mailing Address
First Line	:	2535 GREENVIEW RD
Second Line	:
City	:	NORTHBROOK
State	:	IL
Zip	:	60062-7031
Country	:	US
Telephone Number	:	847-291-9058
Fax Number	:	847-291-9095

Provider Business Practice Location Address
First Line	:	4700 N MARINE DR
Second Line	:	5TH FLOOR
City	:	CHICAGO
State	:	IL
Zip	:	60640-5120
Country	:	US
Telephone Number	:	847-291-9058
Fax Number	:	847-291-9095

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. CHARLES M FEINSTEIN
Credential	:	M.D.
Telephone Number	:	847-291-9058

Provider Enumeration Date	:	07/09/2009
Last Update Date	:	12/14/2009

Similar Medicare Providers

1003821315 — WALGREEN CO
Practice Location Address:

4720 N MARINE DR
CHICAGO, IL
60640-5120

Practice Phone: 773-769-1315
Practice Fax:

1356621965 — TINA VENNOOKKARAN
Practice Location Address:

4720 N MARINE DR
CHICAGO, IL
60640-5120

Practice Phone: 773-769-1315
Practice Fax:

1316227929 — MICHELLE LEE PHARM.D.
Practice Location Address:

4720 N MARINE DR
CHICAGO, IL
60640-5120

Practice Phone: 773-769-1315
Practice Fax: 773-769-3368

1972847820 — SOUTH-EAST ASIA CENTER
Practice Location Address:

5120 N BROADWAY ST
CHICAGO, IL
60640-3004

Practice Phone: 773-989-6927
Practice Fax: 888-831-5471

1437506730 — HOME INSTEAD SENIOR CARE
Practice Location Address:

4736 N MARINE DR
CHICAGO, IL
60640-5120

Practice Phone: 773-784-4024
Practice Fax: 773-334-9867

1598276370 — MR. DAVIS MARIO POHLY RPH
Practice Location Address:

4720 N MARINE DR
CHICAGO, IL
60640-5120

Practice Phone: 773-769-1315
Practice Fax:

Directions to “FAYCOR N A INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.