Individual
ALAN MARTIN SMOOKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2180 PFINGSTEN RD., KELLOGG CANCER CENTER, GLENVIEW, IL 60025
(847) 503-4222
(247) 503-4220
Mailing address
2180 PFINGSTEN RD., KELLOGG CANCER CENTER, GLENVIEW, IL 60025-1339
(847) 503-4222
(247) 503-4220
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036070513
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
036070513
IL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
036-070513
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036070513
PUBLIC AID
IL
01
—
110050091
RR MCA
—
01
—
110213054
RAILROAD MEDICARE
IL
Enumeration date
09/29/2005
Last updated
03/07/2023
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