The Estates of Spanish Lake, LLC

Practice location

Address

610 Prigge Rd, Saint Louis, MO 63138-3543

Phone

(610) 828-8700

Mailing address

5940 W Touhy Ave STE 350, Niles, IL 60714-4638

Authorised official

Name

Tuviyah Spector

Title

Managing Member

Phone

(773) 322-0387

Registered specialties

Registry record

NPI

1053715995

Entity type

Organization

NPI issued

21 Oct 2014

Record last updated

9 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.