Individual
ERIC M SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
3714 N PROSPECT RD, PEORIA, IL 61614-7743
(309) 550-7888
(309) 550-7848
Mailing address
625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
(630) 575-6250
(630) 575-7450
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070014114
IL
Other
Enumeration date
01/12/2007
Last updated
07/21/2022
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