Individual
DR. GREGORY A SPITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.C.S
Contact information
Practice address
1256 WATERFORD DR, SUITE 130, AURORA, IL 60504-4510
(630) 820-2727
(630) 820-7427
Mailing address
1256 WATERFORD DR, SUITE 130, AURORA, IL 60504-4510
(630) 820-2727
(630) 820-7427
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036071367
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K50962
MEDICARE PTAN
—
Enumeration date
08/19/2006
Last updated
05/23/2008
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