Organization
CHICAGO CENTER FOR ANTI AGING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM SPERON M.D. (PRESIDENT)
(630) 952-1412
Entity
Organization
Contact information
Practice address
950 N NORTHWEST HWY STE 102, PARK RIDGE, IL 60068-2349
(630) 952-1412
(630) 952-1447
Mailing address
950 N NORTHWEST HWY STE 102, PARK RIDGE, IL 60068-2349
(630) 952-1412
(630) 952-1447
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
10/29/2012
Last updated
10/29/2012
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