Healthcare Provider Details

I. General information

NPI: 1073351110
Provider Name (Legal Business Name): HANNAH DILDAY SPERA DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2024
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6070 STATE ROUTE 53
LISLE IL
60532-3395
US

IV. Provider business mailing address

5844 KINGSTON AVE
LISLE IL
60532-3152
US

V. Phone/Fax

Practice location:
  • Phone: 630-963-4306
  • Fax:
Mailing address:
  • Phone: 870-503-7769
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number019.035345
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: