Carlos F Smith Dpm Pc
LBN: Carlos F Smith Dpm Pc
Carlos F Smith Dpm Pc is an health care organization with primary practice located at 711 W North Ave Ste 210, Chicago IL 60610-1042. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty.
Carlos F Smith Dpm Pc can be contacted via phone (312) 642-3440, or through Smith, Carlos Frederick via phone (312) 642-3440.
Contact Information
Primary practice address
711 W North Ave Ste 210
Chicago IL 60610-1042
Phone: (312) 642-3440
Fax: (312) 642-4319
Website:
Authorized official contact:
Name: Smith, Carlos Frederick Doctor of Podiatric Medicine (DPM)
Phone: (312) 642-3440
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 016004833 | Illinois |
Profile Details
| NPI number | 1609063155 |
|---|---|
| LBN Legal business name | Carlos F Smith Dpm Pc |
| DBA Doing business as | |
| Authorized official | Smith, Carlos Frederick Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 28th, 2007 |
| Last updated | Apr 27th, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609063155 | NPPES |
| Illinois | Other | 480035349 | PALMETTO GBA |
| Illinois | MEDICAID | 016004833 | PALMETTO GBA |
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