Individual
DR. CHARITA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
5401 S WENTWORTH AVE, CHICAGO, IL 60609-6300
(773) 924-5292
Mailing address
5401 S WENTWORTH AVE, CHICAGO, IL 60609-6300
(773) 924-5292
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010855
IL
Other
Enumeration date
11/17/2014
Last updated
10/09/2016
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