DR. ALEXANDER FEOKTISTOV (NPI# 1003143801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003143801 |
| Entity Type | Individual |
| Full Name | DR. ALEXANDER FEOKTISTOV |
| Credential | MD |
| Practice Address |
191 Waukegan Rd Ste 300 Northfield IL 60093-2744 |
| Practice Telephone | 7739487557 |
| Practice Fax Number | 7739487558 |
| Mailing Telephone | 7739487557 |
| Mailing Fax Number | 7739487558 |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2020-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 036124141 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
191 WAUKEGAN RD STE 300 |
| City | NORTHFIELD |
| State | IL |
| Zip Code | 60093-2744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568087583 | Synergy Integrative Headache Center Ltd | Pain Medicine | 191 Waukegan Rd Ste 300, Northfield, IL 60093-2744 | 2020-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740812346 | Rosa Machabanski | Counselor | Josselyn Center, 405 Central Ave, Northfield, IL 60093 | 2020-02-11 |
| 1972080273 | Solutions-north Shore | Clinic/Center | 550 W Frontage Road, Suite 2810, Northfield, IL 60093 | 2018-07-19 |
| 1639671001 | Ilyssa Emily Lasky | Counselor | 723 Elm St Ste 20, Winnetka, IL 60093 | 2018-03-01 |
| 1285140079 | Rebecca Price | Social Worker | 400 Central Ave Ste 202, Northfield, IL 60093 | 2017-12-17 |
| 1063801033 | Anthony J. Geroulis, Md., S.c | Otolaryngology | 330 West Frontage Rd, Northfield, IL 60093 | 2015-01-14 |
| 1417354093 | Ardeshir Raghian Dds PC | Dentist | 723 Elm Street, Suite 21, Winnetka, IL 60093 | 2014-11-26 |
| 1811261092 | Jordan Allen Anderson | Specialist/Technologist | 7 Happ Road, New Trier Township High School, Northfield, IL 60093 | 2012-03-06 |
| 1326317801 | Anita Lynn Schmidt | Social Worker | 466 Central Ave Ste 50, Northfield, IL 60093 | 2011-12-29 |
| 1992087027 | Sivan Hannah Schondorf | Speech-Language Pathologist | 465 Central Ave., 201, Northfield, IL 60093 | 2011-09-14 |
| 1831409317 | The Arnold Center for Integrated Wellness, P.C. | Psychologist | 456 W. Frontage Rd., Suite 32, Northfield, IL 60093 | 2010-10-18 |
| Find all providers in zip 60093 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053887166 | Alison Dubasak | Internal Medicine | 476 E Twinsburg Rd, Northfield, OH 44067-2852 | 2018-10-16 |
| 1902396526 | Zhenyu Tony Li | Internal Medicine | 7698 Brookhaven Ct, Northfield, OH 44067-4018 | 2018-05-18 |
| 1518280130 | John Marquardt | Internal Medicine | 29 Regent Wood Rd, Northfield, IL 60093-2728 | 2010-03-10 |
| 1689848491 | Green Bay Medical Center LLC | Internal Medicine | 310 Happ Rd Ste 207, Northfield, IL 60093-3457 | 2008-04-14 |
| 1326229923 | Aslam M. Khan | Internal Medicine | 356 Churchill St, Northfield, IL 60093-3221 | 2007-11-25 |
| 1972798643 | Abraham Abtahi Abtahian | Internal Medicine | 1001 New Road, Northfield, NJ 08225 | 2007-09-06 |
| 1093861700 | George Sidney Groch | Internal Medicine | 1413 Shore Rd, Northfield, NJ 08225-2235 | 2007-01-26 |
| 1326137407 | Wedad S Michael | Internal Medicine | 1118 Tilton Rd, Northfield, NJ 08225-1230 | 2006-10-12 |
| 1326078114 | Marcantonio Nanfara | Internal Medicine | 1907 New Road, Northfield, NJ 08225 | 2006-07-04 |
| 1093745473 | Behdokht Daneshvar | Internal Medicine | 1015 New Rd, 2nd Floor, Northfield, NJ 08225-1660 | 2006-07-03 |
| Find all providers in NORTHFIELD | ||||
| City | NORTHFIELD |
| Zip Code | 60093 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.