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Individual

DR. DAVID ALSPACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2650 RIDGE AVE, ANESTHESIOLOGY ROOM 3905, EVANSTON, IL 60201-1718
(847) 570-2760
(847) 507-2921
Mailing address
2650 RIDGE AVE, ANESTHESIOLOGY ROOM 3905, EVANSTON, IL 60201-1718
(847) 570-2760
(847) 507-2921

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036104556
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036104556
IL
01
050088467
RAILROAD MEDICARE
IL
01
1623422
BLUE SHIELD
IL
Enumeration date
06/09/2006
Last updated
07/02/2008
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