SearchIllinoisOtolaryngology/Facial Plastic Surgery Physician

Jeffrey Sparks, D.O

NPI 1780935197 · on the registry since 2012

Practice

Address
515 E Grant St
Suite 113
Macomb, IL 61455
Phone
(309) 833-6937
Organisation at this address
Macomb Internal Medicine Ltd
Mitch And Chris Standard Inc.
Mcdonough County Hospital District
Mcdonough County Hospital District
Mcdonough County Hospital District
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
Otolaryngology/Facial Plastic Surgery Physician
207YX0905X
Also registered as
Otolaryngology/Facial Plastic Surgery Physician
Licence states on file
MO, IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-02-28

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