person
Stephanie E Spicer, DPM
Foot & Ankle Surgery Podiatrist in Olympia Fields, Illinois
NPI 1578593398

Stephanie E Spicer is a Foot & Ankle Surgery Podiatrist based in Olympia Fields, IL and is specialized in Foot & Ankle Surgery. Stephanie E Spicer practices in Olympia Fields, IL and has the professional credentials of DPM. The NPI Number for Stephanie E Spicer is 1578593398 and holds a License No. 016004673 (Illinois).

The current practice location address for Stephanie E Spicer is 19900 Governors Dr Ste 102, Olympia Fields, IL and can be reached out via phone at 708-957-3338 and via fax at 708-856-0340.

Location: 19900 Governors Dr Ste 102, Olympia Fields, IL, 60461-1060
person
Provider Profile Details
NPI Number
1578593398
Provider Name
Stephanie E Spicer
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
19900 Governors Dr Ste 102, Olympia Fields, IL, 60461-1060
Phone Number
708-957-3338
Fax Number
708-856-0340
Provider Enumeration Date
07/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
016004673 05 IL
01626972 01 IL BCBS
4024810001 01 IL DMERC
P00080285 01 IL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
19900 Governors Dr Ste 102
City
State
Zip
60461
Phone Number
708-957-3338
Fax Number
708-856-0340
person
Provider Business Mailing Address Details
Address
19900 Governors Dr Ste 102
City
State
Zip
60461
Phone Number
708-957-3338
Fax Number
708-856-0340
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
016004673 (Illinois)
Definition
Definition to come...
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