Smith, Frederick A

Smith, Frederick A is an individual health care provider with primary practice located at 2300 N Childrens Plz Pathology Mb17, Chicago IL 60614-3363. He recently has only one registered license in Allopathic & Osteopathic Physicians / Chemical Pathology, which is considered as his primary health care specialty. Smith, Frederick A can be contacted via phone (773) 880-4000.

Contact Information

Primary practice address
2300 N Childrens Plz Pathology Mb17 Chicago IL 60614-3363
Phone: (773) 880-4000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Chemical Pathology 207ZP0104X 036062613 Illinois

Profile Details

NPI number 1447250519
LBN Legal business name Smith, Frederick A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Oct 24th, 2011 - about 15 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 1447250519 NPPES
Illinois MEDICAID 036062613

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