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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