Provider Demographics
NPI:1730145566
Name:FELDSTEIN, MARC STUART (MD)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:STUART
Last Name:FELDSTEIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:680 N LAKE SHORE DR
Mailing Address - Street 2:#1200
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-4546
Mailing Address - Country:US
Mailing Address - Phone:312-440-9400
Mailing Address - Fax:312-440-0423
Practice Address - Street 1:680 N LAKE SHORE DR
Practice Address - Street 2:#1200
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-4546
Practice Address - Country:US
Practice Address - Phone:312-440-9400
Practice Address - Fax:312-440-0423
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2012-08-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036-087359207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology