Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Sam J. Speron, MD

Individual provider Plastic Surgery Physician · NPI 1750459707

Dr. Sam J. Speron, MD is a Plastic and Reconstructive Surgery in Park Ridge, Illinois. Qualified in 1994, 32 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
32
Licensed in
IL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

950 N Northwest Hwy Ste 102
Park Ridge, IL 60068-2301
Phone: (847) 696-9900
Fax: (847) 696-9913
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 036093576 (IL)

Record details

NPI number1750459707
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 30, 2006
Last updated in NPPESDecember 11, 2019
Certification dateDecember 11, 2019
Mailing address7157 W Howard St Suite 102, Niles, IL 60714-3757

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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