MEDICARE: ANDREA MICHELLE FEIJOO M.D.

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	207Q00000X	Family Medicine Physician	125065103	IL
2	207Q00000X	Family Medicine Physician	036142541	IL

General Provider Information

NPI Number	:	1578977062
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA MICHELLE FEIJOO M.D.

Provider Business Mailing Address
First Line	:	2511 N KEDZIE BLVD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-2603
Country	:	US
Telephone Number	:	773-292-2700
Fax Number	:

Provider Business Practice Location Address
First Line	:	2511 N KEDZIE BLVD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-2603
Country	:	US
Telephone Number	:	773-292-2700
Fax Number	:

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

Provider Enumeration Date	:	06/12/2014
Last Update Date	:	07/21/2022

Similar Medicare Providers

1851823462 — ANGELA MARIA CANO-GARCIA M.D.
Practice Location Address:

2511 N KEDZIE BLVD
CHICAGO, IL
60647-2603

Practice Phone: 773-292-2700
Practice Fax:

1700879434 — RICARDO MACHADO MD
Practice Location Address:

2511 N KEDZIE BLVD
CHICAGO, IL
60647-2603

Practice Phone: 773-292-2700
Practice Fax:

1649442344 — IAN W. HOFFMAN D.D.S. LTD.
Practice Location Address:

2603 N. MILWAUKEE AVE.
CHICAGO, IL
60647

Practice Phone: 773-227-5121
Practice Fax:

1275761488 — MS. NICHOLE SUZANNE LUPEI D.O.
Practice Location Address:

2511 N KEDZIE BLVD
CHICAGO, IL
60647-2603

Practice Phone: 773-292-2700
Practice Fax:

1861798480 — HOUR OF CHANGE FITNESS, INC
Practice Location Address:

2603 W NORTH AVE
CHICAGO, IL
60647-6924

Practice Phone: 773-552-5077
Practice Fax:

1770932204 — SAM FATOOREHCHI M.D., MBA
Practice Location Address:

2511 N KEDZIE BLVD
CHICAGO, IL
60647-2603

Practice Phone: 773-292-2700
Practice Fax:

Directions to “ ANDREA MICHELLE FEIJOO M.D.” 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 © 2007-2025 (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.