Simonton-Smith, Leslie L

Simonton-Smith, Leslie L is an individual health care provider with primary practice located at 8 Cusumano Professional Plaza Dr , Mount Vernon IL 62864-6736. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Simonton-Smith, Leslie L can be contacted via phone (618) 244-4800.

Contact Information

Primary practice address
8 Cusumano Professional Plaza Dr Mount Vernon IL 62864-6736
Phone: (618) 244-4800
Fax: (618) 241-1746
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036069531 Illinois

Profile Details

NPI number 1417023284
LBN Legal business name Simonton-Smith, Leslie L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2006
Last updated Mar 7th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417023284 NPPES
Illinois Other 117129 HEALTHLINK
Illinois Other 4126930 HEALTHLINK
Illinois Other 160050341 HEALTHLINK
Illinois MEDICAID 036069531 HEALTHLINK

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