Individual
JONATHAN SPERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
407 N MAIN ST, MIDDLEBURY, IN 46540-9218
(630) 730-0364
(630) 206-1255
Mailing address
1560 WALL ST STE 335, NAPERVILLE, IL 60563-1267
(630) 730-0364
(630) 206-1255
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-108385
IL
207Q00000X
Family Medicine Physician
036108385
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F19073
—
IL
Enumeration date
03/14/2006
Last updated
05/09/2019
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