Provider Demographics
NPI:1316054026
Name:FELDMANN, LUZ A (MD)
Entity type:Individual
Prefix:
First Name:LUZ
Middle Name:A
Last Name:FELDMANN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1595 MOMENTUM PL
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60689-5315
Mailing Address - Country:US
Mailing Address - Phone:847-677-6410
Mailing Address - Fax:847-677-6420
Practice Address - Street 1:1100 W CENTRAL RD
Practice Address - Street 2:SUITE 307
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-2402
Practice Address - Country:US
Practice Address - Phone:847-255-7426
Practice Address - Fax:847-255-6231
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01635183OtherBLUE SHIELD PROVIDER #
ILE18756Medicare UPIN
IL01635183OtherBLUE SHIELD PROVIDER #