Individual
MICHAEL DAVID SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N LAKE SHORE DR, APT 3301, CHICAGO, IL 60611
(312) 371-5200
(312) 371-5200
Mailing address
600 N LAKE SHORE DR, APT 3301, CHICAGO, IL 60611
(312) 371-5200
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036078435
IL
Other
Enumeration date
08/26/2005
Last updated
12/15/2017
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