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NPI Code Detail

MEDICARE: RICHARD D FINEGOLD MD.

MEDICARE: RICHARD D FINEGOLD MD.
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
1207R00000XInternal Medicine Physician036072555IL
2207RB0002XObesity Medicine (Internal Medicine) Physician036072555IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DG5947OTHERILRAILROAD MEDICARE GROUP

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2110246884OTHERILRAILROAD MEDICAE INDIVID

General Provider Information

NPI Number : 1770564122
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD D FINEGOLD MD.
Provider Business Mailing Address
First Line : 172 SCHILLER
Second Line :
City : ELMHURST
State : IL
Zip : 60126-2885
Country : US
Telephone Number : 331-221-9000
Fax Number : 331-221-3904
Provider Business Practice Location Address
First Line : 172 SCHILLER
Second Line :
City : ELMHURST
State : IL
Zip : 60126-2885
Country : US
Telephone Number : 331-221-9001
Fax Number : 331-221-3904
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2005
Last Update Date : 07/09/2015

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Directions to “ RICHARD D FINEGOLD MD.” Practice Location

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