Provider Demographics
NPI:1679228480
Name:FELDMAN, ESTEE CARSWELL HOY (MS)
Entity Type:Individual
Prefix:
First Name:ESTEE
Middle Name:CARSWELL HOY
Last Name:FELDMAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 N LAKE SHORE DR APT 1910
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-6325
Mailing Address - Country:US
Mailing Address - Phone:401-225-3140
Mailing Address - Fax:
Practice Address - Street 1:850 N LAKE SHORE DR APT 1910
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-6325
Practice Address - Country:US
Practice Address - Phone:401-225-3140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-21
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program