Individual
DR. MARK PATRICK SMYTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 KISH HOSPITAL DR, DEKALB, IL 60115
(630) 225-2663
Mailing address
5 KISH HOSPITAL DR, DEKALB, IL 60115-9602
(630) 225-2663
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036131047
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2009
Last updated
09/20/2018
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