MEDICARE: JONATHAN SPERO 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	207Q00000X	Family Medicine Physician	036108385	IL
2	207P00000X	Emergency Medicine Physician	036-108385	IL

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

General Provider Information

NPI Number	:	1184693111
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONATHAN SPERO MD

Provider Business Mailing Address
First Line	:	1560 WALL ST STE 335
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60563-1267
Country	:	US
Telephone Number	:	630-730-0364
Fax Number	:	630-206-1255

Provider Business Practice Location Address
First Line	:	407 N MAIN ST
Second Line	:
City	:	MIDDLEBURY
State	:	IN
Zip	:	46540-9218
Country	:	US
Telephone Number	:	630-730-0364
Fax Number	:	630-206-1255

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

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	05/09/2019

Similar Medicare Providers

1992766059 — MIDDLEBURY URGENT CARE &OCCMED, P.C.
Practice Location Address:

407 N MAIN ST
MIDDLEBURY, IN
46540-9218

Practice Phone: 574-825-8184
Practice Fax: 574-825-6176

1811990609 — MS. KAREN C. JAMES ANP
Practice Location Address:

206 W WARREN ST
MIDDLEBURY, IN
46540-9410

Practice Phone: 574-358-0042
Practice Fax: 574-358-0157

1043210180 — DAWN M DETWILER BERGER MD
Practice Location Address:

54938 STATE ROAD 13
MIDDLEBURY, IN
46540-8608

Practice Phone: 574-825-8685
Practice Fax: 574-825-1256

1285606889 — DR. WILLIAM WEYBRIGHT M.D.
Practice Location Address:

226 US HIGHWAY 20
MIDDLEBURY, IN
46540-9713

Practice Phone: 574-825-8068
Practice Fax: 574-825-4873

1104899426 — DAVID FENWICK
Practice Location Address:

424 N MAIN ST , SUITE 4
MIDDLEBURY, IN
46540-8987

Practice Phone: 574-825-3818
Practice Fax: 574-825-9497

1750354890 — DONALD L MUNN
Practice Location Address:

106 E BERRY ST
MIDDLEBURY, IN
46540

Practice Phone: 574-825-7662
Practice Fax: 574-825-3254

Directions to “ JONATHAN SPERO 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.