Rudyard Smith Md And Associates Sc

LBN: Rudyard Smith Md And Associates Sc
Rudyard Smith Md And Associates Sc is an health care organization with primary practice located at 1514 E 87Th St , Chicago IL 60619-6525. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Rudyard Smith Md And Associates Sc can be contacted via phone (773) 978-0757, or through Smith, Rudyard U via phone (773) 978-0757.

Contact Information

Primary practice address
1514 E 87Th St Chicago IL 60619-6525
Phone: (773) 978-0757
Fax: (773) 978-0705
Website:
Map and Directions
Authorized official contact:
Name: Smith, Rudyard U Doctor of Medicine (MD)
Phone: (773) 978-0757

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036053241 Illinois
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1588607345
LBN Legal business name Rudyard Smith Md And Associates Sc
DBA Doing business as
Authorized official Smith, Rudyard U Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2006
Last updated Aug 12th, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588607345 NPPES
Illinois MEDICAID 036053241001
Illinois Other 110233216

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