Roxanne Spurlark

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.014089 Issued in IL

Practice address

45 W 111TH St
Chicago, IL 60628-4200

Phone

(773) 995-3000

NPI assigned

May 2, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Emergency Medical Specialists, II, S.C.

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1689004863
  NPD (past)

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1780110346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8172 PARKVIEW LN",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604238890",
            "telephone_number": "708-577-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 W 111TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606284200",
            "telephone_number": "773-995-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPURLARK",
        "first_name": "ROXANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-02",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.014089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sprout Fertility
• Sprout Pediatric Dentistry
• Sprout Ventures, Inc.
• SPS Family Care, S.C.
• Henry Val Spunar, DPM
• Anthony Jacob Spychalski, APRN, AGACNP-BC
• Elizabeth Spyratos
• Jerry S Spyratos, D.D.S.
• Square One Kids, LLC
• Gianna Rose Squeo, BCBA

• Family Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.