Speron, Sam J.
Speron, Sam J. is an sole proprietor health care provider with primary practice located at 950 N Northwest Hwy Suite 102, Park Ridge IL 60068-2301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Speron, Sam J. can be contacted via phone (847) 696-9900.Contact Information
Primary practice address
950 N Northwest Hwy Suite 102
Park Ridge IL 60068-2301
Phone: (847) 696-9900
Fax: (847) 696-9913
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 036093576 | Illinois |
Profile Details
| NPI number | 1750459707 |
|---|---|
| LBN Legal business name | Speron, Sam J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Dec 11th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750459707 | NPPES |
| Illinois | MEDICAID | 036093576 |
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