Dr. Scott M. Sporer
Adult Reconstructive Orthopaedic Surgeon
25 North Winfield Road
Winfield
, Illinois 60190
Dr. Scott M. Sporer
Adult Reconstructive Orthopaedic Surgeon
25 North Winfield Road
Winfield
, Illinois 60190
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About
Features
Specialties
- Adult Reconstructive Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Scott M. Sporer
- 1 Westbrook Corporate Ctr #240
- Westchester, IL
- Zip : 60154-5701
- Phone :
Second Address
- Dr. Scott M. Sporer
- 25 North Winfield Road
- Winfield, IL
- Zip : 60190
- Fax : (630) 682-8946
- Phone : (630) 682-5653
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 036106085 | IL |
National Provider Identifier
| NPI | 1043299795 |
|---|---|
| Provider Name | Dr. Scott M. Sporer |
| First Address | Westchester, IL 60154-5701 |
| Second Address | Winfield, IL 60190 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/01/2006 |
| Last Update Date | 18/09/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036106085 1 | (05) | IL |
| 1633878 | BCBS GROUP ID# (01) | IL |
| 207067 | MEDICARE PTAN LOCALITY 16 (01) | IL |
| 207073 | MEDICARE PTAN LOCALITY 15 (01) | IL |
| 7895485 | AETNA ID# (01) | IL |
| DA4902 | RR MEDICARE PTAN # (01) | IL |
| H81083 | (02) | IL |
| P00091910 | RR MEDICARE ID# (01) | IL |
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.