Individual
DR. CHARISA M SPOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4440 W 95TH, RADIOLOGY DEPARTMENT, OAK LAWN, IL 60453
(708) 684-8000
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
(847) 390-4757
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036078515
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036078515
—
IL
01
—
1618334
BCBS ID
IL
01
—
P00110671
RAILROAD
IL
Enumeration date
09/13/2006
Last updated
03/05/2026
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