Individual
DR. JAMIERE YOLANDE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9951 S HALSTED ST, CHICAGO, IL 60628-1035
(773) 779-8285
(773) 779-8420
Mailing address
5312 S INGLESIDE AVE, CHICAGO, IL 60615-4310
(773) 779-8285
(773) 324-2355
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036087325
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036087325
—
IL
01
—
1635082
BLUE CROSS INDIVIDUAL #
IL
01
—
194921
AMERIGROUP PROVIDER#
IL
01
—
MEDICARE
214485
IL
Enumeration date
04/14/2006
Last updated
02/27/2014
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