Scott Robert Field, MD
Individual provider Active NPI Critical Care Medicine (Internal Medicine) Physician · Bannockburn, IL
NPI 1932192176 · NPPES record last updated Dec 17, 2020
Key facts
- NPI
- 1932192176
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician 207RC0200X
- License
- 036059572 (IL)
- Practice address
- 2151 Waukegan Rd
Suite 110
Bannockburn, IL 60015-1885 - Phone
- (847) 236-1300
- Fax
- (847) 236-9549
- NPI assigned
- Aug 23, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050825000188 | IL | Practitioner - Pulmonary Disease |
0941248249 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036059572 | IL | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Current |
Accepting new patients | |
| Endeavor Health Medical Group | Current |
Accepting new patients | |
| Midwest Pulmonary Associates S.C. | Critical Care Medicine | Past | Accepting new patients |
Locations
2151 Waukegan Rd
Ste 110
Bannockburn, IL 60015
Phone (847) 236-1300
9532 Eagle Way
Chicago, IL 60678
49 S Waukegan Rd
Ste 200
Deerfield, IL 60015
Phone (847) 945-4575
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175
9669 Kenton Ave
Ste 308
Skokie, IL 60076
Phone (847) 236-1300
Interoperability endpoints
- sfield17650@direct.northshore.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 036059572 | IL | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 036059572 | IL | Yes |
Addresses
Primary practice location
2151 Waukegan Rd
Suite 110
Bannockburn, IL 60015-1885
Mailing address
2151 Waukegan Rd
Suite 110
Bannockburn, IL 60015-1885
Phone (847) 236-1300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036059572 | Medicaid | IL | |
| 36-3200051 | Other | IL | FEIN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sfield17650@direct.northshore.org | ||
| Direct Messaging Address | sfield17650@direct.northshore.org |
Other providers in Bannockburn, IL
- Lona Suzanne Ernst Rizkallah
- Jonathan S Erulkar
- Angela M. Fadragas
- Faithlife Counseling
- Angela Marie Ferguson
- Mark Steven Fisher
- Neil Stuart Freedman
- Amy L Friedman
- Joseph Friedman
- Michelle Galligan
All providers in Bannockburn, IL · Critical Care Medicine (Internal Medicine) Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.