Provider Demographics
NPI:1407953441
Name:ANALYTIS, SPYRO D (MD)
Entity Type:Individual
Prefix:DR
First Name:SPYRO
Middle Name:D
Last Name:ANALYTIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:725 SCHOOL ST STE A
Mailing Address - Street 2:
Mailing Address - City:MORRIS
Mailing Address - State:IL
Mailing Address - Zip Code:60450-1207
Mailing Address - Country:US
Mailing Address - Phone:815-941-9124
Mailing Address - Fax:815-941-4363
Practice Address - Street 1:1450 E DIVISION ST
Practice Address - Street 2:
Practice Address - City:DIAMOND
Practice Address - State:IL
Practice Address - Zip Code:60416-6050
Practice Address - Country:US
Practice Address - Phone:815-634-3500
Practice Address - Fax:815-705-1718
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036078824207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL3219741OtherBLUE CROSS BS
F47135Medicare UPIN
IL3219741OtherBLUE CROSS BS