Smith, Pamela E
Smith, Pamela E is an sole proprietor health care provider with primary practice located at 1950 S Avers Ave , Chicago IL 60623-2450. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Smith, Pamela E can be contacted via phone (773) 490-8842.Contact Information
Primary practice address
1950 S Avers Ave
Chicago IL 60623-2450
Phone: (773) 490-8842
Fax: (773) 277-0027
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 036062316 | Illinois |
| Other Service Providers / Specialist | 174400000X | 036062316 | Illinois |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 036062316 | Illinois |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036062316 | Illinois |
| Other Service Providers / Specialist | 174400000X | 10883 | Illinois |
Profile Details
| NPI number | 1821060039 |
|---|---|
| LBN Legal business name | Smith, Pamela E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Feb 24th, 2012 - about 12 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 | 1821060039 | NPPES |
| Illinois | MEDICAID | 036062316 |
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