Reginald Spears Md Llc

NPI 1467626168 - Clinic/Center - 261QP2300X

NPI Details
NPI 1467626168
Enumeration Date 04/15/2008
Last Updated 04/15/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name REGINALD REGINALD
Position OWNER
Phone (847) 415-2127
Fax (847) 415-2130
Practice Location
4160 ROUTE 83
SUITE 207
LONG GROVE IL, 60047, US
Phone (847) 415-2127
Fax (847) 415-2130
Business Location
4160 ROUTE 83
SUITE 207
LONG GROVE IL, 60047, US
Phone (847) 415-2127
Fax (847) 415-2130
Toxanomy
Taxonomy Code 261QP2300X
License State
License Number
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According to our database, Reginald Spears Md Llc NPI is 1467626168, taxonomy code is 261QP2300X Reginald Spears Md Llc physically located at 4160 Route 83, Long Grove IL, 60047. NPI Number 1033115704 has the healthcare provider type.

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1467626168 NPI number is provided on an as is basis without warranty of any kind. 1467626168 is maintained by the National Plan & Provider Enumeration System. The contents of Reginald Spears Md Llc are for informational purposes only.