Individual
BRIDGETTE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 E 51ST ST, CHICAGO, IL 60615-2400
(312) 572-1200
Mailing address
2818 W 97TH PL, EVERGREEN PARK, IL 60805-2650
(708) 907-5082
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-09802
IL
Other
Enumeration date
07/19/2006
Last updated
04/30/2021
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