Healthcare Provider Details

I. General information

NPI: 1427090653
Provider Name (Legal Business Name): NANCY J FIELD D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 JORIE BLVD SUITE 186
OAK BROOK IL
60523-2213
US

IV. Provider business mailing address

440 BRIARHILL LN
GLENVIEW IL
60025-4942
US

V. Phone/Fax

Practice location:
  • Phone: 630-954-6700
  • Fax:
Mailing address:
  • Phone: 847-724-4381
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RA0000X
TaxonomyAdolescent Medicine (Internal Medicine) Physician
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: