# SPERO MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336456904
- **Authorized official:** DR. MICHAEL JACOB MAGIDOW MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (847) 347-7236

## Contact information

- **Practice address:** 1169 MCHENRY RD, SUITE120 C, BUFFALO GROVE, IL 60089-1380
- **Practice address phone:** (847) 566-0003
- **Practice address fax:** (847) 566-5503
- **Mailing address:** PO BOX 5262, BUFFALO GROVE, IL 60089-5262
- **Mailing address phone:** (847) 347-7236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 036124533 | IL | Yes |

## Other

- **Enumeration date:** 09/02/2010
- **Last updated:** 05/30/2011