SearchIllinois363A00000X

Spencer Sholl

NPI 1427805258 · on the registry since 2024

Practice

Address
3 Saint Elizabeth Blvd Ste 5000
O Fallon, IL 62269
Phone
(618) 641-5803
Fax
(618) 607-5116
Organisation at this address
Urology Of St. Louis, Inc.
Southern Illinois Healthcare Foundation Inc
St Elizabeths Hospital Of The Hospital Sisters Of The Third Order
Inferred from a shared address, not stated in the registry.
Clinicians at this address
107

Additional practice sites

  • 104 Chattanooga Ct, Edwardsville, IL

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-02-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois