MEDICARE: HAYLEY THEA SPARKS MD

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	208000000X	Pediatrics Physician	036.174050	IL

General Provider Information

NPI Number	:	1164887006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAYLEY THEA SPARKS MD

Provider Business Mailing Address
First Line	:	1810 N FREMONT ST APT 12
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-5073
Country	:	US
Telephone Number	:	240-997-5364
Fax Number	:

Provider Business Practice Location Address
First Line	:	2750 W NORTH AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-5247
Country	:	US
Telephone Number	:	312-666-3494
Fax Number	:

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

Provider Enumeration Date	:	12/18/2015
Last Update Date	:	01/28/2026

Similar Medicare Providers

1407417264 — MEREDITH GREER BAUMGARTNER MD
Practice Location Address:

2750 W NORTH AVE
CHICAGO, IL
60647-5247

Practice Phone: 312-666-3494
Practice Fax:

1710930383 — LIBERTY PHYSICAL THERAPY, PC
Practice Location Address:

2738 W NORTH AVE
CHICAGO, IL
60647-5247

Practice Phone: 773-292-9380
Practice Fax: 773-292-9381

1750335006 — MEHANA A OSMAN PT, MS, OCS
Practice Location Address:

2738 W NORTH AVE
CHICAGO, IL
60647-5247

Practice Phone: 773-292-9380
Practice Fax: 773-292-9381

1770530503 — SHERRY KAYE NORDSTROM MD
Practice Location Address:

2750 W NORTH AVE
CHICAGO, IL
60647-5247

Practice Phone: 312-666-3494
Practice Fax:

1326065871 — CHARLES HARRIS M.D.
Practice Location Address:

2750 W NORTH AVE
CHICAGO, IL
60647-5247

Practice Phone: 312-666-3494
Practice Fax:

1831110006 — DR. GHASSAN SOURI D.D.S.
Practice Location Address:

2750 W NORTH AVE
CHICAGO, IL
60647-5247

Practice Phone: 312-432-4541
Practice Fax: 773-342-3204

Directions to “ HAYLEY THEA SPARKS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.