Individual
DR. ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1801 S HIGHLAND AVE, STE 130, LOMBARD, IL 60148
(630) 627-4722
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036112882
IL
208000000X
Pediatrics Physician
036112882
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036112882
—
IL
Enumeration date
03/27/2006
Last updated
08/23/2023
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