Smith, Kimberly Y

Smith, Kimberly Y is an individual health care provider with primary practice located at 600 S Paulina St Suite 143, Chicago IL 60612-3806. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Smith, Kimberly Y can be contacted via phone (312) 942-2061.

Contact Information

Primary practice address
600 S Paulina St Suite 143 Chicago IL 60612-3806
Phone: (312) 942-2061
Fax: (312) 942-2184
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 036093281 Illinois

Profile Details

NPI number 1184685984
LBN Legal business name Smith, Kimberly Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Aug 5th, 2009 - about 15 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 1184685984 NPPES
Illinois MEDICAID 036093281
Illinois Other 440003647

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