# CARLOS F SMITH DPM PC

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

## Provider details

- **NPI number:** 1609063155
- **Authorized official:** DR. CARLOS FREDERICK SMITH DPM (PRESIDENT)
- **Authorized official phone:** (312) 642-3440

## Contact information

- **Practice address:** 711 W NORTH AVE, STE 210, CHICAGO, IL 60610-1042
- **Practice address phone:** (312) 642-3440
- **Practice address fax:** (312) 642-4319
- **Mailing address:** 711 W NORTH AVE, STE 210, CHICAGO, IL 60610-1042
- **Mailing address phone:** (312) 642-3440
- **Mailing address fax:** (312) 642-4319

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 016004833 | IL | Yes |

## Other

- **Enumeration date:** 09/28/2007
- **Last updated:** 04/27/2011