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NPI Code Detail

MEDICARE: JULIUS PHILLIP SPANN

MEDICARE:   JULIUS PHILLIP SPANN
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
1101YM0800XMental Health Counselor362472478IL

General Provider Information

NPI Number : 1568316974
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIUS PHILLIP SPANN
Provider Business Mailing Address
First Line : 121 SARAVANOS RD STE 2
Second Line :
City : YORKVILLE
State : IL
Zip : 60560-5813
Country : US
Telephone Number : 630-966-4466
Fax Number :
Provider Business Practice Location Address
First Line : 121 SARAVANOS RD STE 2
Second Line :
City : YORKVILLE
State : IL
Zip : 60560-5813
Country : US
Telephone Number : 630-966-4466
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2026
Last Update Date : 02/23/2026

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Directions to “ JULIUS PHILLIP SPANN ” Practice Location

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