Individual
STEVEN SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, CRNA
Contact information
Practice address
300 RANDALL RD, GENEVA, IL 60134-4200
(630) 208-4060
(630) 208-4401
Mailing address
300 RANDALL RD, GENEVA, IL 60134-4200
(630) 208-4060
(630) 208-4401
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2019004777
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
209030015
IL
Other
Enumeration date
10/25/2023
Last updated
09/23/2024
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