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Individual

DR. SAM J. SPERON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
950 N NORTHWEST HWY, SUITE 102, PARK RIDGE, IL 60068-2301
(847) 696-9900
(847) 696-9913
Mailing address
7157 W HOWARD ST SUITE 102, NILES, IL 60714-3757
(847) 696-9900
(847) 696-9913

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
036093576
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036093576
IL
Enumeration date
11/30/2006
Last updated
12/11/2019
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