ALEXANDER FEOKTISTOV — Medicare Enrolled Provider (PRACTITIONER - INTERNAL MEDICINE, IL)
ALEXANDER FEOKTISTOV — Medicare Enrolled Provider (PRACTITIONER - INTERNAL MEDICINE, IL) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: ALEXANDER FEOKTISTOV; Type: Individual; NPI: 1003143801.
| Name | ALEXANDER FEOKTISTOV |
|---|---|
| Type | Individual |
| NPI | 1003143801 |
| Provider type | PRACTITIONER - INTERNAL MEDICINE |
| State | IL |
| Enrollment ID | I20110809000635 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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