Smith, Scott
Smith, Scott is an individual health care provider with primary practice located at 2160 S First Ave (Luh-North Ent., Rm. 7604), Maywood IL 60153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Smith, Scott can be contacted via phone (708) 216-3304.Contact Information
Primary practice address
2160 S First Ave (Luh-North Ent., Rm. 7604)
Maywood IL 60153
Phone: (708) 216-3304
Fax: (708) 216-1259
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 36098440 | Illinois |
Profile Details
| NPI number | 1215914494 |
|---|---|
| LBN Legal business name | Smith, Scott |
| Credentials | MD PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2005 |
| Last updated | Jan 28th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215914494 | NPPES |
| Illinois | MEDICAID | 36098440 |
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