Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK P SPANIOL, MD
ActiveJACK P SPANIOL, MD is a Family Medicine healthcare provider located in BLOOMINGTON, Illinois. NPI 1356379184 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · BLOOMINGTON, IL
Registration Details
- NPI Number
- 1356379184
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 29, 2006 (20.114486182415 yrs)
- Last Updated
- Mar 31, 2011
- License
-
036-07300 (IL)
Practice Information
- Address
-
308 SAINT JOSEPH DRBLOOMINGTON, IL, 617013506Browse IL providers · Browse ZIP 61701
- Phone
- 3096635050
- Fax
- 3096623401
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in BLOOMINGTON, IL
| Name | Credential | NPI |
|---|---|---|
| DR. WAYNE ZIMMER MCBRIDE | D.O. | 1568434009 |
| VICTORIA J BROCKHOUSE | DO | 1790744555 |
| MADHUMITA CHATTERJEE | MD | 1679510804 |
| DR. JAMES J MAGEE | M.D. | 1770521007 |
| RICK ANDERSON | M.D. | 1396772976 |
| STEPHEN BELGRAVE | M.D. | 1114951357 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.