Individual
MICHAEL SPRANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(847) 570-2000
Mailing address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(847) 570-2000
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036114225
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36114225
—
IL
01
—
K20023
MEDICARE
IL
Enumeration date
02/15/2006
Last updated
05/21/2019
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