Individual
CLARISSA BETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5841 S. MARYLAND AVE, M/C 6076, CHICAGO, IL 60637-1443
(773) 702-9660
(773) 834-7068
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036164264
IL
207RP1001X
Pulmonary Disease Physician
036164264
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2020
Last updated
05/13/2026
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