Individual
DR. RYAN MICHEAL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1611 W HARRISON ST STE 550, CHICAGO, IL 60612
(312) 942-6100
(312) 942-6225
Mailing address
1611 W HARRISON ST STE 550, CHICAGO, IL 60612-4861
(312) 942-6100
(312) 942-6225
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
036-146879
IL
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
036-146879
IL
Other
Enumeration date
06/12/2012
Last updated
01/31/2019
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