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NPI Code Detail

MEDICARE: DR. KAREN CAMPBELL SPACCARELLI M.D.

MEDICARE: DR. KAREN CAMPBELL SPACCARELLI 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
1207L00000XAnesthesiology Physician036088567IL

General Provider Information

NPI Number : 1023083136
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAREN CAMPBELL SPACCARELLI M.D.
Provider Business Mailing Address
First Line : PO BOX 443
Second Line :
City : BEDFORD PARK
State : IL
Zip : 60499-0443
Country : US
Telephone Number : 708-831-8282
Fax Number : 773-714-1229
Provider Business Practice Location Address
First Line : 8420 W BRYN MAWR AVE STE 300
Second Line :
City : CHICAGO
State : IL
Zip : 60631-3436
Country : US
Telephone Number : 708-831-8282
Fax Number : 773-714-1229
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2006
Last Update Date : 07/14/2021

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