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General NPI Number Information
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NPI Number | 1366450553
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Entity Type | Organization
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Legal Business Name | JEFFREY S. SPECTOR, M.D., S.C.
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 450 CENTRAL AVE SUITE 211
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City | HIGHLAND PARK
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State | IL
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Zip | 60035-2684
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Country | US
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Telephone | 847-433-8884
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Fax | 847-433-5345
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Provider Business Mailing Address
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Address Line | 450 CENTRAL AVE SUITE 211
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City | HIGHLAND PARK
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State | IL
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Zip | 60035-2684
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Country | US
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Telephone | 847-433-8884
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Fax | 847-433-5345
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Authorized Official
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Title or Position | PRESIDENT
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Name | JEFFREY STUART SPECTOR
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Credential | M.D.
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Telephone | 847-433-8884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State | IL
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