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NPI Code Detail

MEDICARE: DR. JEFFREY EDWARD SPAPPERI D.C.

MEDICARE:  DR. JEFFREY EDWARD SPAPPERI  D.C.
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
1111N00000XChiropractorIL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11623042OTHERILBCBS

General Provider Information

NPI Number : 1710994199
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY EDWARD SPAPPERI D.C.
Provider Business Mailing Address
First Line : 1537 N HICKORY AVE
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-4041
Country : US
Telephone Number : 847-788-1002
Fax Number : 928-395-8801
Provider Business Practice Location Address
First Line : 1537 NORTH HICKORY AVENUE
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004
Country : US
Telephone Number : 847-788-1002
Fax Number : 928-395-8801
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2006
Last Update Date : 07/08/2007

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Directions to “ DR. JEFFREY EDWARD SPAPPERI D.C.” Practice Location

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