Provider Demographics
NPI:1730977893
Name:SPOTANSKI, CLAUDIA RAE (PA-C)
Entity type:Individual
Prefix:MS
First Name:CLAUDIA
Middle Name:RAE
Last Name:SPOTANSKI
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7257 N SLIM LN
Mailing Address - Street 2:
Mailing Address - City:ASHLEY
Mailing Address - State:IL
Mailing Address - Zip Code:62808-3107
Mailing Address - Country:US
Mailing Address - Phone:618-791-4981
Mailing Address - Fax:
Practice Address - Street 1:1 GOOD SAMARITAN WAY
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:IL
Practice Address - Zip Code:62864-2402
Practice Address - Country:US
Practice Address - Phone:618-242-4600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No2471C3401XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistComputed Tomography
No2471C3402XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiography