Individual
DR. WILLIAM H SPEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3545 W 95TH ST, EVERGREEN PARK, IL 60805
(708) 346-5562
Mailing address
3545 W 95TH ST, EVERGREEN PARK, IL 60805-2135
(708) 346-5562
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036-110866
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
01065128A
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
036110866
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01065128A
LICENSE NUMBER
IN
01
—
036-110866
LICENSE NUMBER
IL
01
—
201027840
MEDICARE IN
IN
05
—
256640002
—
IN
05
—
36110866
—
IL
01
—
P00713306/CK6882
MEDICARE RAIL ROAD
IL
01
—
R02188
MEDICARE PTAN#
IL
Enumeration date
10/11/2006
Last updated
12/20/2021
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