Provider Demographics
NPI:1093020539
Name:ANNE G SZPINDOR MD PC
Entity Type:Organization
Organization Name:ANNE G SZPINDOR MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:GRACE
Authorized Official - Last Name:SZPINDOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PC
Authorized Official - Phone:847-310-8844
Mailing Address - Street 1:1585 BARRINGTON RD
Mailing Address - Street 2:SUITE 606
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-1090
Mailing Address - Country:US
Mailing Address - Phone:847-310-8844
Mailing Address - Fax:847-310-9224
Practice Address - Street 1:1585 BARRINGTON RD
Practice Address - Street 2:SUITE 606
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-1090
Practice Address - Country:US
Practice Address - Phone:847-310-8844
Practice Address - Fax:847-310-9224
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANNE SZPINDOR MD PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-08-09
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0036047857133N00000X
IL164005528133N00000X
IL0036062096174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILC46126Medicare UPIN