Charisa M Spoo in Oak Lawn - Diagnostic Radiology
Charisa M Spoo - NPI 1326143439
Charisa M Spoo is a Diagnostic Radiology in Oak Lawn, Illinois. Charisa M Spoo practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Charisa M Spoo is 1326143439. The last update date is 2021-12-16.
Charisa M Spoo's current location address is 4440 W 95th St, Oak Lawn, Illinois. You can contact this provider via phone number 7086848000. The mailing address for Charisa M Spoo is 4440 W 95th St, Oak Lawn, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charisa M Spoo |
|---|---|
| Address | 4440 W 95th St, Oak Lawn, Illinois |
| Phone Number | 7086848000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1326143439 |
|---|---|
| Provider Enumeration Date | 2006-09-13 |
| Last Updated Date | 2021-12-16 |
Provider Mailing Address Detail
| Address | 4440 W 95th St |
|---|---|
| City | Oak Lawn |
| State | Illinois (IL) |
| Post Code | 60453 |
| Phone Number | 7086848000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 36078515 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36078515 | IL | -- | |
| P00110671 | IL | RAILROAD | |
| 1618334 | IL | BCBS ID |
Post Comment/ Review Below
What is the unique identifier code issued to Charisa M Spoo by the Centers for Medicare & Medicaid Services?
The Charisa M Spoo has been assigned the NPI (National Provider Identifier) 1326143439. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Charisa M Spoo is physically located?
The Charisa M Spoo is situated at the following address: 4440 W 95Th St, Oak Lawn, IL 60453.
What is Charisa M Spoo's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Charisa M Spoo's specialized field of practice is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of specialization is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1326143439 to Charisa M Spoo?
The Centers for Medicare & Medicaid Services originally issued the 1326143439 to Charisa M Spoo on 2006-09-13.
As of what date were the Charisa M Spoo's details last updated?
The information pertaining to the Charisa M Spoo, including its address, specialty, and other details, was most recently updated on 2021-12-16.