Doctor Name: | DR. DAVID SPENCER |
NPI Number: | 1275678716 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 1875 Dempster St Suite 425 Park Ridge, IL - 600681186 |
Business Phone Number: | 8476989330 |
Business Fax Number: | 8476989198 |
Mailing Address: | 1875 Dempster St, Suite 425 PARK RIDGE |
State: | IL |
Postal Code: | 600681186 |
Phone Number: | 8476989330 |
Fax Number: | 8476989198 |
NPI Enumeration Date: | 02/21/2007 |
NPI Last Update Date: | 03/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |