| Spero Medical Llc | |
|
1169 Mchenry Rd Suite120 C Buffalo Grove IL 60089-1380 | |
| (847) 566-0003 | |
| (847) 566-5503 |
| Full Name | Spero Medical Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1169 Mchenry Rd, Buffalo Grove, Illinois |
| Authorized Official Name and Position | Michael Jacob Magidow (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8473477236 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spero Medical Llc Po Box 5262 Buffalo Grove IL 60089-5262 Ph: (847) 347-7236 | Spero Medical Llc 1169 Mchenry Rd Suite120 C Buffalo Grove IL 60089-1380 Ph: (847) 566-0003 |
| NPI Number | 1336456904 |
|---|---|
| Provider Enumeration Date | 09/02/2010 |
| Last Update Date | 05/30/2011 |
| Medicare PECOS PAC ID | 1254515851 |
|---|---|
| Medicare Enrollment ID | O20110406000117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336456904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 036124533 (Illinois) | Primary |
| Provider Name | Michael J Magidow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649479296 PECOS PAC ID: 8921148628 Enrollment ID: I20091210000285 |
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