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Individual

DR. MICHAEL C SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1725 W HARRISON ST, 1106, CHICAGO, IL 60612-3841
(312) 942-4500
(312) 942-2380
Mailing address
1653 W CONGRESS PKWY, 348 MURDOCK, CHICAGO, IL 60612-3833
(312) 942-5939
(312) 942-2238

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036073603
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036073603
IL
01
336037196
IL DEPT OF PROF REG
IL
Enumeration date
09/21/2005
Last updated
03/07/2023
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