Pamela E Smith Md Mph Ches Sc
LBN: Pamela E Smith Md Mph Ches Sc
Pamela E Smith Md Mph Ches Sc is an health care organization with primary practice located at 1950 S Avers Ave , Chicago IL 60623-2450. The organization recently has 6 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Obesity Medicine, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is the primary health care specialty.
Pamela E Smith Md Mph Ches Sc can be contacted via phone (773) 542-0517, or through Smith, Pamela Elise via phone (773) 542-0517.
Contact Information
Primary practice address
1950 S Avers Ave
Chicago IL 60623-2450
Phone: (773) 542-0517
Fax: (773) 522-3637
Website:
Authorized official contact:
Name: Smith, Pamela Elise Doctor of Medicine (MD)
Phone: (773) 542-0517
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 036062316 | Illinois |
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 036062316 | Illinois |
Allopathic & Osteopathic Physicians / Obesity Medicine | 207VB0002X | 036062316 | Illinois |
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine | 2083P0901X | 036062316 | Illinois |
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | 036062316 | Illinois |
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 036062316 | Illinois |
Profile Details
NPI number | 1407009103 |
---|---|
LBN Legal business name | Pamela E Smith Md Mph Ches Sc |
DBA Doing business as | |
Authorized official | Smith, Pamela Elise Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Oct 28th, 2008 |
Last updated | Oct 28th, 2008 - about 17 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 | 1407009103 | NPPES |
Illinois | Other | C42702 | UPIN |
Illinois | MEDICAID | 036062316 | UPIN |
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