Spectrum Support LLC

NPI #1982903803 in Woodstock, Illinois

Provider Information

NPI Number: 1982903803
Entity Type: Organization
Organization Name: Spectrum Support LLC
Primary Specialty: Specialist
Enumeration Date: Mar 17, 2011
Last Updated: Mar 17, 2011

Practice Location

Address: 1575 WEST LAKE SHORE DRIVE
City: Woodstock
State: Illinois
ZIP Code: 60098
Phone: (815) 404-3558

Authorized Official

Name: TANIA BOON-RICHARDSON
Title: OWNER
Phone: (815) 404-3558

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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