IndividualActive
Jeffrey Sparks, D.O.
NPI 1780935197 · Otolaryngology/Facial Plastic Surgery Physician · Macomb, IL
Provider details
- NPI number
- 1780935197
- Entity type
- Individual
- Primary specialty
- Otolaryngology/Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 2009026507 (MO)
Mailing address
515 E Grant St
Macomb, IL 61455-3368
Registry dates
- Enumerated
- 2012-09-25
- Last updated
- 2014-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.