Organization
DR. SPERON PLASTIC SURGERY, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM SPERON M.D. (PRESIDENT)
(847) 696-9900
Entity
Organization
Contact information
Practice address
950 N NORTHWEST HWY, SUITE 102, PARK RIDGE, IL 60068-2301
(847) 696-9900
(847) 696-9913
Mailing address
950 N NORTHWEST HWY, SUITE 102, PARK RIDGE, IL 60068-2301
(847) 696-9900
(847) 696-9913
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
036093576
IL
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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