Reginald Spears


Address: 4160 Route 83 207, Long Grove, IL 60047

Reginald Spears (NPI# 1861485153, PAC ID# 3072417989) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1861485153
PAC ID by PECOS 3072417989
Professional Enrollment ID I20031209000504
Full Name Reginald Spears
Address 4160 Route 83 207
Long Grove
IL 60047
Gender M
Credential MD
Medical School SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1993
Primary Specialty INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
140202 ADVOCATE CONDELL MEDICAL CENTER
140252 NORTHWEST COMMUNITY HOSPITAL 1
140223 ADVOCATE LUTHERAN GENERAL HOSPITAL
140010 NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL

Other Locations

Address Phone Organization
4160 Route 83 207, Long Grove, IL 60047

Organization Information

Office Location

Street Address 4160 ROUTE 83 207
City LONG GROVE
State IL
Zip 60047

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Competitor

Search similar physicians

City LONG GROVE
Zip Code 60047
Specialty INTERNAL MEDICINE
City + Specialty LONG GROVE + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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