Smith, Michael J

Smith, Michael J is an individual health care provider with primary practice located at 1425 N Randall Rd , Elgin IL 60123-2300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Smith, Michael J can be contacted via phone (224) 783-6873.

Contact Information

Primary practice address
1425 N Randall Rd Elgin IL 60123-2300
Phone: (224) 783-6873
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 036-159215 Illinois
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 224998 New York

Profile Details

NPI number 1275547432
LBN Legal business name Smith, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Nov 16th, 2022 - about 4 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 1275547432 NPPES
Massachusetts MEDICAID 2113384
Massachusetts Other 494427
Massachusetts Other J29581
Massachusetts Other AA49033

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