Individual
DR. MARK SPACCAPANICCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2340 S HIGHLAND AVE, LOMBARD, IL 60148-5371
(630) 495-3338
(630) 495-3350
Mailing address
2340 S HIGHLAND AVE, LOMBARD, IL 60148-5371
(630) 495-3338
(630) 495-3350
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060015180
BCBS
IL
01
—
0060015182
BCBS
IL
Enumeration date
11/02/2006
Last updated
09/09/2021
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