Smith, Craig A

Smith, Craig A is an individual health care provider with primary practice located at 25 N Winfield Rd Ste 405, Winfield IL 60190. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Urology, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Smith, Craig A can be contacted via phone (630) 790-1221.

Contact Information

Primary practice address
25 N Winfield Rd Ste 405 Winfield IL 60190
Phone: (630) 790-1221
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X 036076219 Illinois
Allopathic & Osteopathic Physicians / Urology 208800000X 036076219 Illinois

Profile Details

NPI number 1225098031
LBN Legal business name Smith, Craig A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Aug 23rd, 2023 - about 3 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 1225098031 NPPES
Illinois MEDICAID 036076219

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