Individual
SPENCER S KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.S.
Contact information
Practice address
3551 HIGHLAND AVE STE 200B, DOWNERS GROVE, IL 60515-2100
(630) 264-8720
(630) 264-8423
Mailing address
28594 NETWORK PL, CHICAGO, IL 60673-1285
(630) 859-6800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036143805
IL
207Q00000X
Family Medicine Physician
125.065628
IL
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
036.143805
IL
Other
Enumeration date
06/22/2014
Last updated
10/14/2025
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