CARLOS F SMITH DPM PC
Medical Practice at Ave, Chicago, IL

License number
Illinois 016004833
Category
Medical Practice
Type
Foot & Ankle Surgery
Owner
Name: DR. CARLOS FREDERICK SMITH DPM
Title: PRESIDENT
Phone: (312) 642-3440
Address
Address
711 W Avenue NORTH STE 210, Chicago, IL 60610
National Provider ID: 1609063155
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CARLOS F. SMITH, DPM, PC

Chicago, IL 60643

Registration:
Aug 18, 1998
State ID:
60092664
Business type:
DOMESTIC BCA
Expiration:
PERPETUAL
Agent:
Carlos Frederick Smith,9021 S Western Ave, Chicago, IL 60643 (Physical)

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