Smith, Dale M

Smith, Dale M is an sole proprietor health care provider with primary practice located at 1030 N State St Apt 49B , Chicago IL 60610-2839. He recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Smith, Dale M can be contacted via phone (312) 810-7476.

Contact Information

Primary practice address
1030 N State St Apt 49B Chicago IL 60610-2839
Phone: (312) 810-7476
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016002624 Illinois

Profile Details

NPI number 1831197052
LBN Legal business name Smith, Dale M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2005
Last updated Feb 4th, 2025 - about last year

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 1831197052 NPPES
Illinois MEDICAID 016002624

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