Organization
ELBERT B SMITH MDSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELBERT B SMITH MD (PHYSICIAN)
(773) 221-4708
Entity
Organization
Contact information
Practice address
8015 S LUELLA AVE, STE 207, CHICAGO, IL 60617-1199
(773) 221-4708
Mailing address
8012 S CRANDON AVE, CHICAGO, IL 60617-1124
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
01/28/2011
Last updated
01/28/2011
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