Individual
STEPHEN F SPONTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12251 S 80TH AVE, PALOS HEIGHTS, IL 60463-1256
(708) 923-5800
(708) 923-8324
Mailing address
9944 S ROBERTS RD, SUITE 204, PALOS HILLS, IL 60465-1555
(708) 233-8709
(708) 599-1552
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01083497A
IN
207P00000X
Emergency Medicine Physician
Primary
036086148
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036086148
—
IL
Enumeration date
07/13/2005
Last updated
10/31/2023
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