Provider Demographics
NPI:1457382145
Name:SPINLER, MAUREEN (DPM)
Entity Type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:
Last Name:SPINLER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 917
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60065-0917
Mailing Address - Country:US
Mailing Address - Phone:847-504-5000
Mailing Address - Fax:847-504-5015
Practice Address - Street 1:40 SKOKIE BLVD STE 520
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-1601
Practice Address - Country:US
Practice Address - Phone:847-504-5000
Practice Address - Fax:847-504-5015
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN07000779213E00000X
IL016004277213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100320330AMedicaid
IL016004277Medicaid
0732240001OtherPPG GROUP DMERC #
0732240001OtherPPG GROUP DMERC #
IN859800AMedicare PIN
0732240001OtherPPG GROUP DMERC #
IN100320330AMedicaid
BS1579006OtherDEA
ILL74905Medicare PIN
480013282Medicare PIN
IL016004277Medicaid
IL560750004Medicare PIN
IN859800AMedicare PIN