Organization
JAMIERE Y SMITH MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIERE YOLANDE SMITH M.D. (OWNER)
(773) 779-8285
Entity
Organization
Contact information
Practice address
9951 SOUTH HALSTED STREET, CHICAGO, IL 60628-1035
(773) 779-8285
(773) 779-8240
Mailing address
5312 S INGLESIDE AVE, CHICAGO, IL 60615-4310
(773) 779-8285
(773) 324-2355
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036087325
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036087325
—
IL
01
—
214485
MEDICARE
IL
Enumeration date
07/14/2011
Last updated
12/11/2013
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