Provider Demographics
NPI:1659510733
Name:FEINSTEIN, ALLYSON GAYLE (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALLYSON
Middle Name:GAYLE
Last Name:FEINSTEIN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1623 W MELROSE ST
Mailing Address - Street 2:UNIT 202
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-1125
Mailing Address - Country:US
Mailing Address - Phone:608-213-4404
Mailing Address - Fax:
Practice Address - Street 1:2601 COMPASS RD
Practice Address - Street 2:SUITE 105
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60026-8077
Practice Address - Country:US
Practice Address - Phone:847-724-5455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-12
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019-028231122300000X
PADS0375861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist