Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 036.158077 | IL |
N | 2080P0214X | Pediatric Pulmonologist | R4148 | TX |
NPI | 1104110832 |
---|---|
Provider Name | Dr. David Raphael Spielberg |
First Address | Chicago, IL 60611-2991 |
Second Address | Chicago, IL 60611-2991 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2011 |
Last Update Date | 25/10/2021 |