ERIC M SPARKS

PEORIA, IL
NPI1609927235
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070014114)
Enumeration Date2007-01-12
Last Update Date2022-07-21
Business Address
ERIC M SPARKS MPT
3714 N PROSPECT RD
PEORIA, IL 61614-7743
Phone number: 309-550-7888
Mailing Address
ERIC M SPARKS MPT
625 ENTERPRISE DR
OAK BROOK, IL 60523-8813
Phone number: 630-575-6250