Organization
CARLOS F SMITH DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS FREDERICK SMITH DPM (PRESIDENT)
(312) 642-3440
Entity
Organization
Contact information
Practice address
711 W NORTH AVE, STE 210, CHICAGO, IL 60610-1042
(312) 642-3440
(312) 642-4319
Mailing address
711 W NORTH AVE, STE 210, CHICAGO, IL 60610-1042
(312) 642-3440
(312) 642-4319
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016004833
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004833
—
IL
01
—
480035349
PALMETTO GBA
IL
Enumeration date
09/28/2007
Last updated
04/27/2011
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