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RUDYARD SMITH MD AND ASSOCIATES SC NPI 1588607345


NPI Information

NPI: 1588607345
Provider Name: RUDYARD SMITH MD AND ASSOCIATES SC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1514 E 87TH ST
CHICAGO, IL
ZIP 60619
Phone: (773) 978-0757
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RUDYARD SMITH MD AND ASSOCIATES SC is a multi-specialty clinic center in Chicago, IL. RUDYARD SMITH MD AND ASSOCIATES SC NPI is 1588607345. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1514 E 87TH ST
CHICAGO, IL
ZIP 60619-525
Phone: (773) 978-0757
Fax: (773) 978-0705

The provider's authorized official is Rudyard U Smith .
The authorized official title is President and has the following contact phone number (773) 978-0757.

The enumeration date for this NPI number is 6/13/2006 and was last updated on 8/12/2021.


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
1207R00000XInternal Medicine036053241ILLINOISNo
2261QM1300XClinic/CenterMulti-SpecialtyYes

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
1036053241001MEDICAIDILLINOIS
2110233216OTHERILLINOISRAILROAD MEDICARE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.