Physician Compare National (NPI:1730220062)

HEALTHCARE PROVIDER: ALEX J SPADONI MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1730220062
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1153445481
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100824000394
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SPADONI
	Individual professional last name
Provider First Name	ALEX
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1959
	Individual professional's medical school graduation year
Primary Specialty	PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	NEUROLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	NEUROLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	210 N HAMMES AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 108
	Group Practice or individual's line 2 address
City	JOLIET
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	604356688
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8157731015
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y