Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jerry Feldman, MD

Individual provider MOHS-Micrographic Surgery Physician · NPI 1962577676

Jerry Feldman, MD is an MOHS-Micrographic Surgery Physician in Chicago, Illinois. Licensed in Idaho and Illinois. Registered with an NPI since 2006.

Licensed in
ID, IL
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1900 W Polk St Ste 519
Chicago, IL 60612-3723
Phone: (312) 864-4390
Fax: (312) 864-4390
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 036-077856 (IL)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 036-077856 (ID)

Record details

NPI number1962577676
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 21, 2006
Last updated in NPPESApril 23, 2021
Certification dateApril 23, 2021
Mailing address6800 N California Ave Apt 4g, Chicago, IL 60645-4553

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