# RUDYARD SMITH MD AND ASSOCIATES SC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588607345
- **Authorized official:** RUDYARD U SMITH M.D., (PRESIDENT)
- **Authorized official phone:** (773) 978-0757

## Contact information

- **Practice address:** 1514 E 87TH ST, CHICAGO, IL 60619-6525
- **Practice address phone:** (773) 978-0757
- **Practice address fax:** (773) 978-0705
- **Mailing address:** 3510 W 79TH ST, CHICAGO, IL 60652-1430
- **Mailing address phone:** (773) 978-0757
- **Mailing address fax:** (773) 978-0705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036053241 | IL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/13/2006
- **Last updated:** 05/31/2025