MEDICARE: DAVID S SPRINGER M.D.

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	207W00000X	Ophthalmology Physician	036070377	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	180032727	OTHER	IL	RAILROAD MEDICARE
3	K44948	OTHER	IL	MEDICARE PROVIDER NUMBER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	0031600193	OTHER	IL	BLUE SHIELD

General Provider Information

NPI Number	:	1003811787
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID S SPRINGER M.D.

Provider Business Mailing Address
First Line	:	1 ERIE CT
Second Line	:	STE 6140
City	:	OAK PARK
State	:	IL
Zip	:	60302-2510
Country	:	US
Telephone Number	:	708-848-2400
Fax Number	:	708-445-8269

Provider Business Practice Location Address
First Line	:	1 ERIE CT
Second Line	:	STE 6140
City	:	OAK PARK
State	:	IL
Zip	:	60302-2510
Country	:	US
Telephone Number	:	708-848-2400
Fax Number	:	708-445-8269

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

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	06/24/2008

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Directions to “ DAVID S SPRINGER M.D.” Practice Location

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