Organization
BRUCE SYLVESTER SMITH MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE SYLVESTER SMITH MD (OWNER)
(815) 672-1610
Entity
Organization
Contact information
Practice address
104 W 6TH ST, SUITE 206, STREATOR, IL 61364-2899
(815) 672-1610
(815) 672-1615
Mailing address
104 W 6TH ST, SUITE 206, STREATOR, IL 61364-2899
(815) 672-1610
(815) 672-1615
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
03/27/2008
Last updated
03/27/2008
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