Individual
CASSANDRA ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4009 N BROADWAY ST, CHICAGO, IL 60613-2110
(773) 275-2586
Mailing address
4009 N BROADWAY ST, CHICAGO, IL 60613-2110
(773) 275-2586
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.172157
IL
Other
Enumeration date
03/31/2022
Last updated
10/29/2025
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