Provider Demographics
NPI:1811985351
Name:FINKELSTEIN, DAVID EMANUEL (DPM)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:EMANUEL
Last Name:FINKELSTEIN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4603 W 103RD ST
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-4718
Mailing Address - Country:US
Mailing Address - Phone:708-636-7677
Mailing Address - Fax:708-636-3137
Practice Address - Street 1:4603 W 103RD ST
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-4718
Practice Address - Country:US
Practice Address - Phone:708-636-7677
Practice Address - Fax:708-636-3137
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL016004567213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL016004567Medicaid
IL480011748OtherRAILROAD MEDICARE
IL016004567Medicaid
IL480011748OtherRAILROAD MEDICARE