person
Dr. Blake Allen Smith, DPM
Podiatrist in Northbrook, Illinois
NPI 1316978174

Blake Allen Smith is a Podiatrist based in Northbrook, IL. Blake Allen Smith practices in Northbrook, IL and has the professional credentials of DPM. The NPI Number for Blake Allen Smith is 1316978174 and holds a License No. 016004391 (Illinois).

The current practice location address for Blake Allen Smith is 40 Skokie Blvd Ste 520, Northbrook, IL and can be reached out via phone at 847-504-5000 and via fax at 847-504-5015.

Location: 40 Skokie Blvd Ste 520, Northbrook, IL, 60065-0917
person
Provider Profile Details
NPI Number
1316978174
Provider Name
Blake Allen Smith
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
40 Skokie Blvd Ste 520, Northbrook, IL, 60065-0917
Phone Number
847-504-5000
Fax Number
847-504-5015
Provider Enumeration Date
07/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07000838 01 IN IN LICENSE
016004391 01 IL IL LICENSE
200136480E 05 IN
859800F 01 IN ADMINISTAR FEDERAL PIN
P01675626 01 IN RAILROAD MEDICARE
016004391 05 IL
480017243 01 IL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
40 Skokie Blvd Ste 520
City
State
Zip
60062-1601
Phone Number
847-504-5000
Fax Number
847-504-5015
person
Provider Business Mailing Address Details
Address
40 Skokie Blvd Ste 520
City
State
Zip
60062-1601
Phone Number
847-504-5000
Fax Number
847-504-5015
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
License No.
016004391 (Illinois)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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