Individual
DR. KEVIN DONALD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5841 S MARYLAND AVE # MC1145, CHICAGO, IL 60637-1443
(773) 702-3020
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
036.164127
IL
2080P0203X
Pediatric Critical Care Medicine Physician
C7-0007316
DE
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
DR.0062439
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2016
Last updated
05/19/2023
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