Individual
LISA WINTERS-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5758 S MARYLAND AVE, M/C 6082, CHICAGO, IL 60637-1426
(773) 702-1907
(773) 834-7910
Mailing address
180 HARVESTER DR, SUITE 110, BURR RIDGE, IL 60527-5993
(773) 834-1061
(773) 834-0946
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036093347
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036093347
—
IL
Enumeration date
03/26/2007
Last updated
03/21/2013
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