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Individual

JAMIE SPITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1875 DEMPSTER ST STE 640, PARK RIDGE, IL 60068-1179
(847) 297-6380
(847) 297-0589
Mailing address
1875 DEMPSTER ST STE 640, PARK RIDGE, IL 60068-1179
(847) 297-6380
(847) 297-0589

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
036137616
IL
208200000X
Plastic Surgery Physician
35133375
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0302314
OH
Enumeration date
12/17/2009
Last updated
12/30/2021
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