Individual
DR. DAVID PAUL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, PHD
Contact information
Practice address
2334 W LAWRENCE AVE STE 212, CHICAGO, IL 60625-1037
(773) 562-3276
(773) 363-0600
Mailing address
2334 W LAWRENCE AVE STE 212, CHICAGO, IL 60625-1037
(773) 562-3276
(773) 363-0600
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071-006030
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1635194
BCBS
IL
Enumeration date
11/29/2006
Last updated
02/20/2025
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