Individual
DR. THOMAS M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1801 S HIGHLAND AVE # 220, LOMBARD, IL 60148-4932
(630) 790-1872
(630) 873-8812
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018
(630) 942-7998
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
036123723
IL
207X00000X
Orthopaedic Surgery Physician
Primary
103723
MN
207X00000X
Orthopaedic Surgery Physician
34.008112
OH
207X00000X
Orthopaedic Surgery Physician
5101016040
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
Enumeration date
04/04/2007
Last updated
02/11/2021
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