Individual
DR. CARLOS FREDERICK SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1301 E 47TH ST BLDG 2, CHICAGO, IL 60653-4507
(773) 924-7765
(773) 924-8468
Mailing address
711 W NORTH AVE, STE 210, CHICAGO, IL 60610-1174
(312) 642-3440
(312) 642-4319
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016004833
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
016004833
IL
Other
Enumeration date
11/08/2005
Last updated
06/21/2021
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