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Contact Information

STEPHANIE E SPICER, DPM
19900 GOVERNORS DR STE 102
OLYMPIA FIELDS, IL60461
 Phone: 708-957-3338
 Fax: 708-856-0340
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for STEPHANIE E SPICER · (Female)

NPI # 1578593398
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/04/2006
Last updated 12/09/2021 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 016004673
  • IL Medicaid 016004673
  • IL Other 01626972 BCBS
  • IL Other 4024810001 DMERC
  • IL Other P00080285 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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