| Hayley Thea Sparks, MD | |
|
2750 W North Ave, Chicago, IL 60647-5247 | |
| (312) 666-3494 | |
| Not Available |
| Full Name | Hayley Thea Sparks |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 2750 W North Ave, Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164887006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 036.174050 (Illinois) | Primary |
| Entity Name | Baltimore Medical System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164138152 PECOS PAC ID: 5395653455 Enrollment ID: O20031121000651 |
| Entity Name | Johns Hopkins University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922008549 PECOS PAC ID: 8921903147 Enrollment ID: O20031215000719 |
| Mailing Address | Practice Location Address |
|---|---|
| Hayley Thea Sparks, MD 1810 N Fremont St Apt 12, Chicago, IL 60614-5073 Ph: (240) 997-5364 | Hayley Thea Sparks, MD 2750 W North Ave, Chicago, IL 60647-5247 Ph: (312) 666-3494 |
Nupur Mittal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1725 W. Harrison St Suite 710, Rush University Medical Center,, Chicago, IL 60612 Phone: 312-942-5983 Fax: 312-563-2519 | |
Dr. Gustave Falciglia, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave # 45, Chicago, IL 60611 Phone: 312-227-4190 | |
Bessey Elizabeth Jose Geevarghese, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 225 E Chicago Ave, Chicago, IL 60611 Phone: 630-933-6631 | |
Bernadeta Leegan Wibisono, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2951 S King Dr Apt 1004, Chicago, IL 60616 Phone: 312-351-1346 | |
Allie Dakroub, MD MS Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 773-702-1000 | |
Kyle L Macquarrie, MD PHD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave # 30, Chicago, IL 60611 Phone: 312-227-4000 | |
Amy Pham, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1740 W Taylor St, Chicago, IL 60612 Phone: 866-600-2273 |