SearchIllinois390200000X

Jamie Sparks

NPI 1538390190 · on the registry since 2009 · sole proprietor

Practice

Address
1000 Illini Dr
O Fallon, IL 62269
Phone
(618) 622-9246

Registry record

Primary taxonomy
390200000X
390200000X
Sex
Female
Record last updated
2009-07-30

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