Individual
DENVER M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
767 PARK AVE W, HIGHLAND PARK, IL 60035-2400
(847) 926-6500
Mailing address
702 W BARRY AVE APT 2A, CHICAGO, IL 60657-2792
(312) 731-5431
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.006629
IL
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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