Provider Demographics
NPI:1447296256
Name:SPOKAS, MONIKA (OD)
Entity type:Individual
Prefix:
First Name:MONIKA
Middle Name:
Last Name:SPOKAS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 E OGDEN AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-1296
Mailing Address - Country:US
Mailing Address - Phone:630-323-7300
Mailing Address - Fax:630-323-7662
Practice Address - Street 1:700 E OGDEN AVE STE 200
Practice Address - Street 2:
Practice Address - City:WESTMONT
Practice Address - State:IL
Practice Address - Zip Code:60559-1296
Practice Address - Country:US
Practice Address - Phone:630-323-7300
Practice Address - Fax:630-323-7662
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-21
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILIL046009498152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1982982385Medicaid
ILK31304Medicare PIN