Individual
CRAIG A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 N WINFIELD RD, STE 405, WINFIELD, IL 60190
(630) 790-1221
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036076219
IL
2088P0231X
Pediatric Urology Physician
036076219
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036076219
—
IL
Enumeration date
03/24/2006
Last updated
08/23/2023
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