Individual
WILLARD C. SPURLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14901 W 102ND AVE, DYER, IN 46311-7750
(708) 271-0390
Mailing address
14901 W 102ND AVE, DYER, IN 46311-7750
(708) 271-0390
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
28268894C
IN
Other
Enumeration date
01/21/2026
Last updated
01/21/2026
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