Individual
GREGORY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2200 E 93RD ST, CHICAGO, IL 60617-3905
(773) 768-2535
(773) 374-4079
Mailing address
2200 E 93RD ST, CHICAGO, IL 60617-3905
(773) 768-2535
(773) 374-4079
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-076264
IL
Other
Enumeration date
12/28/2006
Last updated
12/08/2021
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