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Individual
DR. PAMELA E SMITH
Active
Individual
DR. PAMELA E SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036062316
IL
174400000X
Specialist
10883
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
036062316
IL
208D00000X
General Practice Physician
036062316
IL
208M00000X
Hospitalist Physician
036062316
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036062316
—
IL
Enumeration date
02/02/2006
Last updated
02/24/2012
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