Dr. Coleman Jay Spector
Oral and Maxillofacial Surgeon
1014 W. Belmont Avenue
Chicago
, Illinois 60657
Dr. Coleman Jay Spector
Oral and Maxillofacial Surgeon
1014 W. Belmont Avenue
Chicago
, Illinois 60657
(773) 472-6321
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Coleman Jay Spector
- 1014 W. Belmont Avenue
- Chicago, IL
- Zip : 60657
- Fax : (773) 472-6321
- Phone : (773) 472-5235
Second Address
- Dr. Coleman Jay Spector
- 1014 W. Belmont Avenue
- Chicago, IL
- Zip : 60657
- Fax : (773) 472-6321
- Phone : (773) 472-5235
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 021.001732019.023916 | IL |
National Provider Identifier
| NPI | 1083738264 |
|---|---|
| Provider Name | Dr. Coleman Jay Spector |
| First Address | Chicago, IL 60657 |
| Second Address | Chicago, IL 60657 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/03/2007 |
| Last Update Date | 16/05/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.