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Sullivan Mcintosh Smith, MD
Otolaryngology Physician in Maywood, Illinois
NPI 1851852560

Sullivan Mcintosh Smith is a Otolaryngology Physician based in Duxbury, IL. Sullivan Mcintosh Smith practices in Maywood, IL and has the professional credentials of MD. The NPI Number for Sullivan Mcintosh Smith is 1851852560 and holds a License No. (Illinois).

The current practice location address for Sullivan Mcintosh Smith is 2160 S 1St Ave, Maywood, IL and can be reached out via phone at 781-635-5061.

Location: 2160 S 1St Ave, Maywood, IL, 02332-3882
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851852560
Provider Name
Sullivan Mcintosh Smith
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2160 S 1St Ave, Maywood, IL, 02332-3882
Phone Number
781-635-5061
Fax Number
Provider Enumeration Date
03/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2160 S 1St Ave
City
Maywood
State
Illinois
Zip
60153-3328
Phone Number
781-635-5061
Fax Number
person
Provider Business Mailing Address Details
Address
2160 S 1St Ave
City
Maywood
State
Illinois
Zip
60153-3328
Phone Number
781-635-5061
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
207Y00000X
License No.
125.074394 (Illinois)
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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