Individual
CLASINA LESLIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
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
207Q00000X
Family Medicine Physician
036.124367
IL
208D00000X
General Practice Physician
Primary
036.124367
IL
208D00000X
General Practice Physician
A118378
CA
Other
Enumeration date
08/22/2007
Last updated
12/07/2020
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