Spectrum Support LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SPECTRUM SUPPORT LLC

Practice address

1575 West Lake Shore Drive
Woodstock, IL 60098

Phone

(815) 404-3558

NPI assigned

Mar 17, 2011

Organization subpart

No

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

Authorized official

Name

Tania Boon-Richardson

Title

Owner

Phone

(815) 404-3558

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300320000000",
    "number": "1982903803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 WEST LAKE SHORE DRIVE",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "60098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 WEST LAKE SHORE DRIVE",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "60098",
            "telephone_number": "815-404-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM SUPPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-17",
        "last_updated": "2011-03-17",
        "status": "A",
        "authorized_official_last_name": "BOON-RICHARDSON",
        "authorized_official_first_name": "TANIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-404-3558"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Edward Soulard
• Carol Amy Spano, OTR/L
• Candace Spasojevich, MS; QMHP;
• Special Ed District of McHenry County
• Special Education District of McHenry County
• Diane Sral, COTA
• Peter Ssempaka
• Christopher B Standage, MD
• Suzanne Steinberg
• Rin C Steinhoff, M.S.

• Specialist in Woodstock, IL
• Providers in Woodstock, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; 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.