Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 036075052 | IL |
Y | 111NI0900X | Internist | 036075052 | IL |
NPI | 1003054289 |
---|---|
Provider Name | Dr. Sharon Ann Spak-Schreiner |
First Address | Arlington Heights, IL 60004-2315 |
Second Address | Arlington Heights, IL 60004-2315 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2009 |
Last Update Date | 11/05/2021 |