Mark A Spencer, DN

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

Practice address

15850 New Ave
Lemont, IL 60439-3680

Phone

(815) 302-2784

Fax

(630) 243-8807

NPI assigned

Dec 29, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134285539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15850 NEW AVE",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604393680",
            "telephone_number": "815-302-2784",
            "fax_number": "630-243-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15850 NEW AVE",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604393680",
            "telephone_number": "815-302-2784",
            "fax_number": "630-243-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "DN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD IL",
            "identifier": "02232712",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Don A Smith, PHARM D
• Liam Smith
• Mary Ann Smith, M.S.
• Elizabeth Anne Smoczynski, LCSW
• Sparkle Dental Group LLC (Dentique - Lemont)
• Jennifer L. Splitt-Krull, DDS
• St Joseph Rehabilitation Services LLC
• Dennis Owen Steinbrenner, R.PH.
• Paul F. Stoetzel, D.C.
• Stoetzel's Planet Chiropractic LTD

• Neurology Chiropractor in Lemont, IL
• Providers in Lemont, IL by specialty
• Neurology Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.