Provider Demographics
NPI:1346224870
Name:FEINBLATT, ALFRED JULIAN (DC)
Entity Type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:JULIAN
Last Name:FEINBLATT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1063 BUCKSKIN LN
Mailing Address - Street 2:
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60188-9103
Mailing Address - Country:US
Mailing Address - Phone:630-293-7237
Mailing Address - Fax:
Practice Address - Street 1:402 E IRVING PARK RD
Practice Address - Street 2:
Practice Address - City:WOOD DALE
Practice Address - State:IL
Practice Address - Zip Code:60191-1668
Practice Address - Country:US
Practice Address - Phone:630-860-0480
Practice Address - Fax:630-860-9620
Is Sole Proprietor?:No
Enumeration Date:2005-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL697880Medicare ID - Type Unspecified
ILT-37970Medicare UPIN