AUSTIN J SPOON

MORRIS, IL
NPI1467024125
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209.023541)
Enumeration Date2021-07-13
Last Update Date2021-07-13
Business Address
AUSTIN J SPOON NP
1051 W US ROUTE 6 STE 100
MORRIS, IL 60450-3370
Phone number: 815-942-4875
Mailing Address
AUSTIN J SPOON NP
725 SCHOOL ST STE A
MORRIS, IL 60450-1207
Phone number: 815-941-9124