Carroll Edward Smith in Chicago - Adult Medicine
Carroll Edward Smith - NPI 1386784346
Carroll Edward Smith is a Adult Medicine in Chicago, Illinois. Carroll Edward Smith practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Carroll Edward Smith is 1386784346. The last update date is 2007-07-08.
Carroll Edward Smith's current location address is 4215 S King Dr, Chicago, Illinois. You can contact this provider via phone number 7736240366 and fax number 7736240367. The mailing address for Carroll Edward Smith is 4215 S King Dr, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Carroll Edward Smith |
---|---|
Address | 4215 S King Dr, Chicago, Illinois |
Phone Number | 7736240366 |
Fax Number | 7736240367 |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1386784346 |
---|---|
Provider Enumeration Date | 2007-02-07 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 4215 S King Dr |
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City | Chicago |
State | Illinois (IL) |
Post Code | 606532663 |
Phone Number | 7736240366 |
Fax Number | 7736240367 |
Provider's Primary Taxonomy Detail
Speciality | Adult Medicine |
---|---|
Taxonomy | 207Qa0505X |
Licence No | 036-36570 |
Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
036-36570 | IL | STATE LICENSE |
Post Comment/ Review Below
What is the Carroll Edward Smith's unique identification number?
The Carroll Edward Smith has been assigned the NPI (National Provider Identifier) Number 1386784346 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Carroll Edward Smith?
The Carroll Edward Smith is physically situated at 4215 S King Dr, in the city of Chicago, state of IL, with the postal code 606532663.
What is Carroll Edward Smith's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Carroll Edward Smith is Adult Medicine, and the taxonomy code that classifies this field of practice is 207Qa0505X.
On what date did Carroll Edward Smith receive its 1386784346 assignment from the Centers for Medicare & Medicaid Services?
The Carroll Edward Smith was assigned its 1386784346 on 2007-02-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Carroll Edward Smith most recently updated?
The details pertaining to the Carroll Edward Smith, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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