Individual
ANDREA ELISE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-4000
Mailing address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036.161482
IL
2084P0800X
Psychiatry Physician
247417
MA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036.161482
IL
2084P0804X
Child & Adolescent Psychiatry Physician
247417
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110095641A
—
MA
Enumeration date
06/09/2008
Last updated
08/02/2022
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