Provider Demographics
NPI:1306114590
Name:STEVEN D. FIELD, M.D. S. C.
Entity type:Organization
Organization Name:STEVEN D. FIELD, M.D. S. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:FIELD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-564-5645
Mailing Address - Street 1:666 DUNDEE ROAD
Mailing Address - Street 2:SUITE 1701
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-2738
Mailing Address - Country:US
Mailing Address - Phone:847-564-5645
Mailing Address - Fax:847-564-7706
Practice Address - Street 1:666 DUNDEE ROAD
Practice Address - Street 2:SUITE 1701
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-2738
Practice Address - Country:US
Practice Address - Phone:847-564-5645
Practice Address - Fax:847-564-7706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-02
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-057386261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service