CARLOS F SMITH DPM PC NPI 1609063155

NPI Information

CARLOS F SMITH DPM PC is a foot and ankle surgery podiatrist in Chicago, IL. CARLOS F SMITH DPM PC NPI is 1609063155. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

711 W NORTH AVE
STE 210
CHICAGO, IL
ZIP 60610-042
Phone: (312) 642-3440
Fax: (312) 642-4319

The provider's authorized official is Carlos Frederick Smith .
The authorized official title is President and has the following contact phone number (312) 642-3440.

The enumeration date for this NPI number is 9/28/2007 and was last updated on 4/27/2011.

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:

Other Identifiers

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

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