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Dr. Carroll Edward Smith, MD
Adult Medicine Physician in Chicago, Illinois
NPI 1386784346

Carroll Edward Smith is an Adult Medicine Physician based in Chicago, IL and is specialized in Adult Medicine. Carroll Edward Smith practices in Chicago, IL and has the professional credentials of MD. The NPI Number for Carroll Edward Smith is 1386784346 and holds a License No. 036-36570 (Illinois).

The current practice location address for Carroll Edward Smith is 4215 S King Dr, Chicago, IL and can be reached out via phone at 773-624-0366 and via fax at 773-624-0367. You can also correspond with Carroll Edward Smith through the mailing address at 4900 S GREENWOOD AVE, CHICAGO, IL - 60615-2816 (mailing address contact number: 773-285-1392).

Location: 4215 S King Dr, Chicago, IL, 60615-2816
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Provider Profile Details
NPI Number
1386784346
Provider Name
Carroll Edward Smith
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4215 S King Dr, Chicago, IL, 60615-2816
Phone Number
773-624-0366
Fax Number
773-624-0367
Provider Enumeration Date
02/07/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036-36570 01 IL STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
4215 S King Dr
City
State
Zip
60653-2663
Phone Number
773-624-0366
Fax Number
773-624-0367
person
Provider Business Mailing Address Details
Address
4215 S King Dr
City
State
Zip
60653-2663
Phone Number
773-624-0366
Fax Number
773-624-0367
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
License No.
036-36570 (Illinois)
Definition
Definition to come.
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