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Organization

SPERO MEDICAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL JACOB MAGIDOW MD (MEDICAL DIRECTOR)
(847) 347-7236
Entity
Organization

Contact information

Practice address
1169 MCHENRY RD, SUITE120 C, BUFFALO GROVE, IL 60089-1380
(847) 566-0003
(847) 566-5503
Mailing address
PO BOX 5262, BUFFALO GROVE, IL 60089-5262
(847) 347-7236

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
036124533
IL

Other

Enumeration date
09/02/2010
Last updated
05/30/2011
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