Smith, Michael J
Smith, Michael J is an individual health care provider with primary practice located at 1425 N Randall Rd , Elgin IL 60123-2300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Smith, Michael J can be contacted via phone (224) 783-6873.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 036-159215 | Illinois |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 224998 | New York |
Profile Details
| NPI number | 1275547432 |
|---|---|
| LBN Legal business name | Smith, Michael J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Nov 16th, 2022 - about 2 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 | 1275547432 | NPPES |
| Massachusetts | MEDICAID | 2113384 | |
| Massachusetts | Other | 494427 | |
| Massachusetts | Other | J29581 | |
| Massachusetts | Other | AA49033 |
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