Sporer, Scott M.

Sporer, Scott M. is an individual health care provider with primary practice located at 25 North Winfield Road , Winfield IL 60190. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, which is considered as his primary health care specialty. Sporer, Scott M. can be contacted via phone (630) 682-5653.

Contact Information

Primary practice address
25 North Winfield Road Winfield IL 60190
Phone: (630) 682-5653
Fax: (630) 682-8946
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 036106085 Illinois

Profile Details

NPI number 1043299795
LBN Legal business name Sporer, Scott M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Sep 18th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043299795 NPPES
Illinois Other 207073 MEDICARE PTAN LOCALITY 15
Illinois MEDICAID 036106085 1 MEDICARE PTAN LOCALITY 15
Illinois Other 207067 MEDICARE PTAN LOCALITY 15
Illinois Other 7895485 MEDICARE PTAN LOCALITY 15
Illinois Other P00091910 MEDICARE PTAN LOCALITY 15
Illinois Other DA4902 MEDICARE PTAN LOCALITY 15
Illinois Other 1633878 MEDICARE PTAN LOCALITY 15

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