Spero Medical LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

036124533 Issued in IL

Legal business name

SPERO MEDICAL LLC

Practice address

1169 McHenry Rd
Suite120 C
Buffalo Grove, IL 60089-1380

Phone

(847) 566-0003

Fax

(847) 566-5503

NPI assigned

Sep 2, 2010

Last updated

May 30, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Jacob Magidow, MDNPI 1649479296

Title

Medical Director

Phone

(847) 347-7236

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael J Magidow, MD, PHD

  • Family Medicine Physician
  • Buffalo Grove, IL
  • NPI 1649479296
  Medicare reassignment NPD Authorized official
• Griselda Hernandez Rahman, PA-C

  • Physician Assistant
  • Melrose Park, IL
  • NPI 1215074869
  NPD (past)

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306713600000",
    "number": "1336456904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5262",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600895262",
            "telephone_number": "847-347-7236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 MCHENRY RD",
            "address_2": "SUITE120 C",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891380",
            "telephone_number": "847-566-0003",
            "fax_number": "847-566-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPERO MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-02",
        "last_updated": "2011-05-30",
        "status": "A",
        "authorized_official_last_name": "MAGIDOW",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "847-347-7236",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "036124533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Radha Soundarrajan, M.D.
• Southerncare, Inc. (Heartland Hospice (Northbrook))
• SP Dental Care, LTD.
• Rachel Spatz
• Specialized Podiatry, L.L.C.
• Erica Spieler
• Shanna Leigh Spina, D.M.D.
• Elizabeth Mary Spink, PHYSICAL THERAPIST
• Julie A. Spokane, LCSW
• Mark Spudich

• Clinic/Center in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.