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Jeffrey Ryan Sparks, DO
Otolaryngology/Facial Plastic Surgery Physician in Macomb, Illinois
NPI 1780935197

Jeffrey Ryan Sparks is a Otolaryngology/Facial Plastic Surgery Physician based in Macomb, IL and is specialized in Otolaryngology/Facial Plastic Surgery. Jeffrey Ryan Sparks practices in Macomb, IL and has the professional credentials of DO. The NPI Number for Jeffrey Ryan Sparks is 1780935197 and holds a License No. 2009026507 (Illinois).

The current practice location address for Jeffrey Ryan Sparks is 515 E Grant St, Macomb, IL and can be reached out via phone at 309-833-6937.

Location: 515 E Grant St, Macomb, IL, 61455-3368
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780935197
Provider Name
Jeffrey Ryan Sparks
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
515 E Grant St, Macomb, IL, 61455-3368
Phone Number
309-833-6937
Fax Number
Provider Enumeration Date
09/25/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
515 E Grant St
City
Macomb
State
Illinois
Zip
61455-3368
Phone Number
309-833-6937
Fax Number
person
Provider Business Mailing Address Details
Address
515 E Grant St
City
Macomb
State
Illinois
Zip
61455-3368
Phone Number
309-833-6937
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
207YX0905X
License No.
2009026507 (Missouri)
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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