Healthcare Provider Details

I. General information

NPI: 1801599493
Provider Name (Legal Business Name): LAUREN NICOLE FELD DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2023
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

486 RANDALL RD UNIT B
SOUTH ELGIN IL
60177-3354
US

IV. Provider business mailing address

29373 NETWORK PL
CHICAGO IL
60673-1293
US

V. Phone/Fax

Practice location:
  • Phone: 847-468-1206
  • Fax: 847-468-1507
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number036-182007
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: