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

Spencer Mossack, MD

Individual provider Urology Physician · NPI 1265061980

Spencer Mossack, MD is an Urology in Libertyville, Illinois. Qualified in 2021, 5 years ago. Licensed in Illinois.

Years since qualifying
5
Licensed in
IL
In the registry since
2020
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

1800 Hollister Dr Ste 107
Libertyville, IL 60048-5265
Phone: (847) 295-0010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 1265061980 (IL)

Record details

NPI number1265061980
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 4, 2020
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026
Mailing address755 Seven Ponds Towd Rd, Southampton, NY 11968-5516

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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