Individual
PAMELA SPARACINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16450 S. 97TH AVENUE, ORLAND PARK, IL 60467
(708) 403-6500
Mailing address
4644 W. 98TH PLACE, OAK LAWN, IL 60453-3130
(219) 510-2562
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
06003129A
IN
171W00000X
Contractor
Primary
—
IL
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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