Individual
SCOTT FELDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
820 DAVIS ST, SUITE # 450, EVANSTON, IL 60201-4431
(847) 328-2404
(847) 328-1295
Mailing address
1565 MAPLE AVE, SUITE 105, EVANSTON, IL 60201-4371
(847) 246-4783
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036095587
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036095587
—
IL
01
—
1619067
BCBS GROUP NUMBER
IL
Enumeration date
10/03/2006
Last updated
01/26/2021
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