C LESLIE SMITH MD INC NPI 1376975094

NPI Information

  • NPI: 1376975094
  • Provider Name: C LESLIE SMITH MD INC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Doing Business As: NEW LEAF ACUPUNCTURE
  • Address: 4753 N BROADWAY ST
    SUITE 910
    CHICAGO, IL
    ZIP 60640
  • Phone: (773) 609-3520

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NPI Details

C LESLIE SMITH MD INC is a general practice in Chicago, IL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee C LESLIE SMITH MD INC NPI is 1376975094. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As New Leaf Acupuncture.

The provider's business location address is:

4753 N BROADWAY ST
SUITE 910
CHICAGO, IL
ZIP 60640-266
Phone: (773) 609-3520

The provider's authorized official is Clasina L Smith .
The authorized official title is Owner and has the following contact phone number (773) 350-2725.

The enumeration date for this NPI number is 8/5/2013 and was last updated on 8/5/2013.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice036124367ILLINOISYes

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: 11/21/2025

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