Feldman, Jerry
Feldman, Jerry is an individual health care provider with primary practice located at 1900 W Polk St Ste 519 , Chicago IL 60612-3723. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Feldman, Jerry can be contacted via phone (312) 864-4390.Contact Information
Primary practice address
1900 W Polk St Ste 519
Chicago IL 60612-3723
Phone: (312) 864-4390
Fax: (312) 864-4390
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 036-077856 | Idaho |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 036-077856 | Illinois |
Profile Details
| NPI number | 1962577676 |
|---|---|
| LBN Legal business name | Feldman, Jerry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Apr 23rd, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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