Individual
DR. ABIGAIL LINN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1649 N PULASKI RD, CHICAGO, IL 60639-5207
(773) 278-6868
(773) 278-6922
Mailing address
1431 N WESTERN AVE, SUITE 401, CHICAGO, IL 60622-1797
(312) 633-5841
(312) 491-5485
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-138831
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
IL
Enumeration date
05/15/2013
Last updated
09/11/2018
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