Scott Jason Spencer in Chicago - Sports Physician
Scott Jason Spencer - NPI 1679620306
Scott Jason Spencer is a Sports Physician in Chicago, Illinois. Scott Jason Spencer practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Scott Jason Spencer is 1679620306. The last update date is 2013-04-04.
Scott Jason Spencer's current location address is 205 W Randolph St, Chicago, Illinois. You can contact this provider via phone number 3122656908 and fax number 3122640347. The mailing address for Scott Jason Spencer is 205 W Randolph St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Scott Jason Spencer |
|---|---|
| Address | 205 W Randolph St, Chicago, Illinois |
| Phone Number | 3122656908 |
| Fax Number | 3122640347 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1679620306 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2013-04-04 |
Provider Mailing Address Detail
| Address | 205 W Randolph St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606061867 |
| Phone Number | 3122656908 |
| Fax Number | 3122640347 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 38009369 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7626403 | IL | AETNA | |
| 1629928 | IL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Scott Jason Spencer by the Centers for Medicare & Medicaid Services?
The Scott Jason Spencer has been assigned the NPI (National Provider Identifier) 1679620306 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Scott Jason Spencer is physically located?
The Scott Jason Spencer is physically situated at the following address: 205 W Randolph St, Chicago, IL, 606061867.
What is Scott Jason Spencer's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Scott Jason Spencer is Sports Physician, and the corresponding taxonomy classification code for this specialized field is 111Ns0005X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1679620306 to Scott Jason Spencer?
The Centers for Medicare & Medicaid Services originally issued the 1679620306 to Scott Jason Spencer on 2007-01-04.
As of what date was the information pertaining to Scott Jason Spencer, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Scott Jason Spencer, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-04-04.