Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 016.005393 | IL |
NPI | 1063566727 |
---|---|
Provider Name | Sarah Spizzirri |
First Address | Champaign, IL 61820-3909 |
Second Address | Champaign, IL 61822-3743 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2007 |
Last Update Date | 06/01/2022 |