Individual
DR. SARA BOBLICK SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
840 S WOOD ST, DIVISION OF GENERAL PEDIATRICS (MC 856), CHICAGO, IL 60612-4325
(312) 996-7184
(312) 413-0243
Mailing address
840 S WOOD ST, DIVISION OF GENERAL PEDIATRICS (MC 856), CHICAGO, IL 60612-4325
(312) 996-7184
(312) 413-0243
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301083568
MI
208000000X
Pediatrics Physician
Primary
4301083568
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301083568
MI
Other
Enumeration date
04/10/2007
Last updated
02/06/2012
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