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NPI Code Detail

MEDICARE: JACQUELYN SPOKAS

MEDICARE: JACQUELYN SPOKAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor178.018982IL

General Provider Information

NPI Number : 1063304483
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELYN SPOKAS
Provider Business Mailing Address
First Line : 2800 W HIGGINS RD STE 650
Second Line :
City : HOFFMAN ESTATES
State : IL
Zip : 60169-7268
Country : US
Telephone Number : 815-947-4463
Fax Number :
Provider Business Practice Location Address
First Line : 2800 W HIGGINS RD STE 650
Second Line :
City : HOFFMAN ESTATES
State : IL
Zip : 60169-7268
Country : US
Telephone Number : 815-947-4463
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2025
Last Update Date : 07/18/2025

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Directions to “ JACQUELYN SPOKAS ” Practice Location

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