Provider Demographics
NPI:1366499352
Name:SPURGASH, KAREN A (DO)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:A
Last Name:SPURGASH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:15300 WEST AVE
Mailing Address - Street 2:#225
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-4600
Mailing Address - Country:US
Mailing Address - Phone:708-226-1810
Mailing Address - Fax:708-226-1869
Practice Address - Street 1:15300 WEST AVE
Practice Address - Street 2:#225
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-4600
Practice Address - Country:US
Practice Address - Phone:708-226-1810
Practice Address - Fax:708-226-1869
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL433950Medicare ID - Type Unspecified
ILF88529Medicare UPIN