Individual provider Active NPI

Victoria Spevak, MD

  • Adolescent Medicine (Internal Medicine) Physician
  • Arlington HTS, IL
National Provider Identifier
1316976434
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
Practice address
3295 N Arlington Heights Rd
Ste 102
Arlington HTS, IL 60004-1565
Phone
(847) 392-7400
Fax
(847) 392-0036
NPI assigned
Jul 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) Physician 207RA0000X IL Primary

Addresses

Primary practice location

3295 N Arlington Heights Rd
Ste 102
Arlington HTS, IL 60004-1565

Mailing address

3295 N Arlington Heights Rd
Ste 102
Arlington HTS, IL 60004-1565
Phone (847) 392-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-071677ILMDAdolescent Medicine (Internal Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316976434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3295 N ARLINGTON HEIGHTS RD",
            "address_2": "STE 102",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600041565",
            "telephone_number": "847-392-7400",
            "fax_number": "847-392-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3295 N ARLINGTON HEIGHTS RD",
            "address_2": "STE 102",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600041565",
            "telephone_number": "847-392-7400",
            "fax_number": "847-392-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEVAK",
        "first_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington HTS, IL

Sources for this page

  • 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.