MEDICARE: DR. JEFFREY EDWARD SPAPPERI D.C.

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
1	111N00000X	Chiropractor		IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1623042	OTHER	IL	BCBS

General Provider Information

NPI Number	:	1710994199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY EDWARD SPAPPERI D.C.

Provider Business Mailing Address
First Line	:	1537 N HICKORY AVE
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-4041
Country	:	US
Telephone Number	:	847-788-1002
Fax Number	:	928-395-8801

Provider Business Practice Location Address
First Line	:	1537 NORTH HICKORY AVENUE
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004
Country	:	US
Telephone Number	:	847-788-1002
Fax Number	:	928-395-8801

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. JEFFREY EDWARD SPAPPERI D.C.” Practice Location

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