SPENCER KIRK (NPI# 1265847941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265847941 |
| Entity Type | Individual |
| Full Name | SPENCER KIRK |
| Credential | M.D., M.S. |
| Practice Address |
1221 N Highland Ave Aurora IL 60506-1404 |
| Practice Telephone | 6302648720 |
| Practice Fax Number | 6302648423 |
| Mailing Telephone | 7739907648 |
| Enumeration Date | 2014-06-22 |
| Last Update Date | 2018-08-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 036143805 | IL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 125.065628 | IL | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
036.143805 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7447 W Talcott Ave, Suite 182, Chicago, IL 606313745 | 7739907648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518165331 | Spencer Park Kirk | Surgery | 1965 S Fremont Ave Ste 100, Springfield, MO 65804 | 2007-07-03 |
| Street Address |
1221 N HIGHLAND AVE |
| City | AURORA |
| State | IL |
| Zip Code | 60506-1404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598763955 | Sudhir S Sekhon | Internal Medicine | 1221 N Highland Ave, Aurora, IL 60506-1404 | 2005-07-11 |
| 1578124103 | Megan Lynn Corrigan | Audiologist | 1221 N Highland Ave, Aurora, IL 60506-1404 | 2019-06-25 |
| 1992280507 | Andrea Williams | Nurse Practitioner | 1221 N Highland Ave, Aurora, IL 60506-1404 | 2018-09-28 |
| 1922507268 | Amy Fabrizius | Specialist/Technologist | 1221 N Highland Ave, Aurora, IL 60506-1404 | 2018-02-01 |
| 1770093114 | Advocate Home Care Products, Inc | Durable Medical Equipment & Medical Supplies | 1221 N Highland Ave, Aurora, IL 60506-1404 | 2017-10-11 |
| 1497285506 | Ellen Butz | Physical Therapist | 1221 N Highland Ave, Aurora, IL 60506-1404 | 2017-06-13 |
| 1275076788 | Annette Gwozdz | Specialist/Technologist | 1221 N Highland Ave, Aurora, IL 60506-1404 | 2016-12-01 |
| 1316497332 | Mary Elizabeth O'donnell | Physician Assistant | 1221 N Highland Ave, Aurora, IL 60506-1404 | 2016-10-13 |
| 1922452432 | Sylwia Smutny | Psychologist | 1221 N Highland Ave, Aurora, IL 60506 | 2016-04-20 |
| 1780059170 | Dreyer Clinic, Inc | Clinic/Center | 1221 N Highland Ave, Aurora, IL 60506-1404 | 2015-12-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678121 | Yvette Velazquez | Non-emergency Medical Transport (VAN) | 1743 Plum St, Aurora, IL 60506 | 2020-01-09 |
| 1609420173 | Salma Hydari | Dentist | 1264 N Lake St., Aurora, IL 60506 | 2019-08-01 |
| 1720647092 | Tirumala Aggarwal | Dentist | Premier Dental, 1264 N Lake Street, Aurora, IL 60506 | 2019-06-11 |
| 1730644410 | Margaret Elizabeth Beallis | Counselor | 120 Gale St., Aurora, IL 60506 | 2019-02-06 |
| 1639634322 | Jordan Devera | Student in an Organized Health Care Education/Training Program | Aurora University 347 S Gladstone Ave, Pmb 729, Aurora, IL 60506 | 2019-02-06 |
| 1770077737 | Harriet L Miller | Registered Nurse | 1081 Emerald Dr, Aurora, IL 60506 | 2018-06-21 |
| 1275033516 | Lillian Antonia Villamil | Registered Nurse | 400 Mercy Lane, Aurora, IL 60506 | 2018-02-13 |
| 1689173676 | Ideal Medical Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 1177 N Highland Ave Ste#204, Aurora, IL 60506 | 2018-02-06 |
| 1417465535 | Aaron Downing | Counselor | 525 N. Edgelawn Ave, Aurora, IL 60506 | 2018-01-11 |
| 1942739222 | Jessica Toma | Pharmacist | 1952 W Galena Blvd, Aurora, IL 60506 | 2017-06-08 |
| Find all providers in zip 60506 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376894501 | Rush-copley Medical Group | Family Medicine | 2040 Ogden Ave., Suite 304, Aurora, IL 60504 | 2012-09-27 |
| 1699861682 | Lawrence Timothy Kacmar | Family Medicine | 3965 75th St, Suite 103, Aurora, IL 60504-7925 | 2006-10-05 |
| 1790807659 | Julie Clare Wilson | Family Medicine | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2007-04-04 |
| 1548300395 | Marc Peter Hilgers | Family Medicine | 1221 N Highland Ave, Aurora, IL 60506-1404 | 2007-02-08 |
| 1235225269 | Lawrence T. Kacmar M.d., S.c. | Family Medicine | 3965 75th St, Suite 103, Aurora, IL 60504-7925 | 2006-10-05 |
| 1750496733 | Sourav Poddar | Family Medicine | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2006-08-20 |
| 1043297799 | Robert D. Paras | Family Medicine | 2111 Ogden Ave, Aurora, IL 60504-7597 | 2005-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164817334 | Shachi Pandya | Family Medicine | 18350 Kedzie Ave Ste 101, Homewood, IL 60430 | 2015-04-03 |
| 1821438185 | Marianne Hana | Family Medicine | 60 Orland Square Dr Ste 101, Orland Park, IL 60462 | 2013-07-01 |
| 1144495961 | Karsten B Slater | Family Medicine | 1527 College Dr, Mount Carmel, IL 62863 | 2008-04-23 |
| 1104000561 | Competitive Edge Sports Medicine | Family Medicine | 14160 Jamestown Rd, Breese, IL 62230 | 2007-12-20 |
| 1477734150 | Sashil Singh Kapur | Family Medicine | 415 N Lasalle Street, Suite 100, Chicago, IL 60654 | 2007-11-21 |
| 1659562585 | Ketan R Mody | Family Medicine | 760 Pasquinelli Dr Ste 304, Westmont, IL 60559-1290 | 2007-08-06 |
| 1285841544 | Arthur Aragones | Family Medicine | 135 E Irving Park Rd, Streamwood, IL 60107-2950 | 2007-05-17 |
| 1003028150 | Jill Wirth-rissman | Family Medicine | 205 N Cummings Ln, Washington, IL 61571-2181 | 2007-05-03 |
| 1497838676 | Christopher Eric Cieurzo | Family Medicine | 510 Pow Mia St Bldg P40, Scott Afb, IL 62225-5020 | 2006-10-23 |
| 1922108224 | Mark Theodore Veldman | Family Medicine | 1900 Silver Cross Blvd Ste 120, New Lenox, IL 60451-9509 | 2006-09-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.