Individual
DR. LEONARD MORRIS SPISHAKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1239 WINDHAM PKWY, ROMEOVILLE, IL 60446-1608
(815) 942-6323
(779) 210-5541
Mailing address
PO BOX 713260, CHICAGO, IL 60677-0264
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
091578
IL
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
091578
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036091578
—
IL
Enumeration date
04/17/2006
Last updated
05/25/2023
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