Individual
JIMMIE MARQUETTE SMITH
Active
Individual
JIMMIE MARQUETTE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036085766
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0062839
UMWA
IL
01
—
014146
HEALTH ALLIANCE
IL
01
—
02922981
BCBS
IL
05
—
036085766
—
IL
01
—
085766
OSF HEALTHPLANS
IL
01
—
110200800
RR MEDICARE PIN
IL
01
—
1942315197
NPI CLINIC NUMBER
IL
01
—
200397
BLACK LUNG
IL
01
—
207537
HEALTH LINK
IL
01
—
CG5172
RR MEDICARE GROUP#
IL
01
—
IL0112
JOHN DEERE
IL
Enumeration date
08/29/2006
Last updated
04/13/2021
Update your record
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