Individual
DR. JOYCE MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4650 S ELLIS AVE, CHICAGO, IL 60653-3625
(773) 536-0470
(773) 536-0472
Mailing address
3223W 63RD ST, CHICAGO, IL 60629-3333
(773) 768-5000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-063911
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-063911
—
IL
Enumeration date
08/25/2006
Last updated
11/19/2015
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