Individual
LAUREL ANNA SPACCARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2160 S 1ST AVE STE 1940, MAYWOOD, IL 60153-3328
(708) 216-6200
(708) 216-6840
Mailing address
2160 S 1ST AVE STE 1940, MAYWOOD, IL 60153-3328
(708) 216-6200
(708) 216-6840
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
125085842
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2025
Last updated
05/19/2025
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