Organization
C LESLIE SMITH MD INC
Active
Other names
New Leaf Acupuncture
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLASINA L SMITH MD (OWNER)
(773) 350-2725
Entity
Organization
Contact information
Practice address
4753 N BROADWAY ST, SUITE 910, CHICAGO, IL 60640-5266
(773) 609-3520
Mailing address
5312 N WINTHROP AVE, APT 1N, CHICAGO, IL 60640-2389
(773) 350-2725
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036124367
IL
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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