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Individual

JOEL SPEAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2900 N LAKE SHORE DR, #1231, CHICAGO, IL 60657-5640
(773) 665-3261
(773) 665-9435
Mailing address
777 OAKMONT LN, SUITE 1600, WESTMONT, IL 60559-5511
(630) 789-2550

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
036070345
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036070345
IL
01
1618792
BCBS PROVIDER ID
IL
01
440000197
RAIL ROAD MEDICARE
IL
Enumeration date
09/23/2005
Last updated
02/05/2013
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