Individual
COURTENAY CHAREICE SPEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-S
Contact information
Practice address
2718 W ROSCOE ST, CHICAGO, IL 60618-5910
(773) 961-3000
Mailing address
5741 ERIE AVE, HAMMOND, IN 46320-2307
(312) 863-0352
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/12/2025
Last updated
10/01/2025
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