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PAMELA E SMITH MD MPH CHES SC NPI 1407009103


NPI Information

NPI: 1407009103
Provider Name: PAMELA E SMITH MD MPH CHES SC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
1950 S AVERS AVE
CHICAGO, IL
ZIP 60623
Phone: (773) 542-0517
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PAMELA E SMITH MD MPH CHES SC is an obstetrics gynecology in Chicago, IL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. PAMELA E SMITH MD MPH CHES SC NPI is 1407009103. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1950 S AVERS AVE
CHICAGO, IL
ZIP 60623-450
Phone: (773) 542-0517
Fax: (773) 522-3637

The provider's authorized official is Pamela Elise Smith .
The authorized official title is President and has the following contact phone number (773) 542-0517.

The enumeration date for this NPI number is 10/28/2008 and was last updated on 10/28/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist036062316ILLINOISNo
2207VB0002XObstetrics & GynecologyObesity Medicine036062316ILLINOISNo
32083P0901XPreventive MedicinePublic Health & General Preventive Medicine036062316ILLINOISNo
42085U0001XRadiologyDiagnostic Ultrasound036062316ILLINOISNo
5208D00000XGeneral Practice036062316ILLINOISNo
6207V00000XObstetrics & Gynecology036062316ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1036062316MEDICAIDILLINOIS
2728780/PO7574MEDICARE PINILLINOIS
3C42702OTHERILLINOISUPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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