Individual
DALE M SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1030 N STATE ST APT 49B, CHICAGO, IL 60610-2839
(312) 810-7476
Mailing address
5405 W 95TH ST, OAK LAWN, IL 60453-2349
(708) 425-7476
(708) 425-4223
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016002624
IL
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016002624
—
IL
Enumeration date
07/12/2005
Last updated
02/04/2025
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