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Dr. Charli Walter Leroy Smith JR., MD
Family Medicine Physician in Harrisburg, Illinois
NPI 1649611252

Charli Walter Leroy Smith JR. is a Family Medicine Physician based in Marion, IL. Charli Walter Leroy Smith JR. practices in Harrisburg, IL and has the professional credentials of MD. The NPI Number for Charli Walter Leroy Smith JR. is 1649611252 and holds a License No. 036139019 (Illinois).

The current practice location address for Charli Walter Leroy Smith JR. is 608 Rollie Moore Dr, Harrisburg, IL and can be reached out via phone at 618-252-6150.

Location: 608 Rollie Moore Dr, Harrisburg, IL, 62959-7782
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649611252
Provider Name
Charli Walter Leroy Smith JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
608 Rollie Moore Dr, Harrisburg, IL, 62959-7782
Phone Number
618-252-6150
Fax Number
Provider Enumeration Date
07/11/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
214881 01 IL MEDICARE GROUP
institution
Provider Business Practice Location Address Details
Address
608 Rollie Moore Dr
City
Harrisburg
State
Illinois
Zip
62946-2351
Phone Number
618-252-6150
Fax Number
person
Provider Business Mailing Address Details
Address
608 Rollie Moore Dr
City
Harrisburg
State
Illinois
Zip
62946-2351
Phone Number
618-252-6150
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036139019 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Preventive Medicine
Speciality
Undersea and Hyperbaric Medicine
Taxonomy
2083P0011X
License No.
036139019 (Illinois)
Definition
A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.
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