Individual
JENNIFER A SPANIER-STIASNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
20 TOWER CT STE C, GURNEE, IL 60031-5711
(847) 244-2960
Mailing address
20 TOWER CT STE C, GURNEE, IL 60031-5711
(847) 244-2960
(847) 244-2986
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
02003998A
IN
207RG0100X
Gastroenterology Physician
Primary
036.132905
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201068390
—
IN
Enumeration date
05/07/2007
Last updated
12/27/2021
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