Individual
DR. GREGORY H SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
311 W. FAIRCHILD STREET, FAMILY MEDICINE/CONVENIENT CARE, DANVILLE, IL 61832
(217) 431-7650
(217) 431-7634
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
(217) 383-4752
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036064047
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036064047
—
IL
Enumeration date
05/01/2006
Last updated
05/13/2014
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