Individual
DR. SCOTT M. SPORER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 NORTH WINFIELD ROAD, WINFIELD, IL 60190
(630) 682-5653
(630) 682-8946
Mailing address
1 WESTBROOK CORPORATE CTR, #240, WESTCHESTER, IL 60154-5701
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
036106085
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036106085 1
—
IL
01
—
1633878
BCBS GROUP ID#
IL
01
—
207067
MEDICARE PTAN LOCALITY 16
IL
01
—
207073
MEDICARE PTAN LOCALITY 15
IL
01
—
7895485
AETNA ID#
IL
01
—
DA4902
RR MEDICARE PTAN #
IL
01
—
P00091910
RR MEDICARE ID#
IL
Enumeration date
01/11/2006
Last updated
09/18/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us