MEDICARE: MS. DANA PEARL FELDSTEIN

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	104100000X	Social Worker

General Provider Information

NPI Number	:	1396674354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DANA PEARL FELDSTEIN

Provider Business Mailing Address
First Line	:	2195 AVALON DR
Second Line	:
City	:	BUFFALO GROVE
State	:	IL
Zip	:	60089-4685
Country	:	US
Telephone Number	:	224-880-0177
Fax Number	:	224-880-0172

Provider Business Practice Location Address
First Line	:	34121 N US HIGHWAY 45
Second Line	:
City	:	GRAYSLAKE
State	:	IL
Zip	:	60030-1768
Country	:	US
Telephone Number	:	224-880-0177
Fax Number	:	224-880-0172

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2026
Last Update Date	:	05/18/2026

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