PAMELA E SMITH MD MPH CHES SC
Medical Practice at Avers Ave, Chicago, IL

License number
Illinois 036062316
Category
Medical Practice
Type
Specialist
License number
Illinois 036062316
Category
Medical Practice
Type
Obstetrics & Gynecology
License number
Illinois 036062316
Category
Medical Practice
Type
Public Health & General Preventive Medicine
License number
Illinois 036062316
Category
Radiology
Type
Diagnostic Ultrasound
License number
Illinois 036062316
Category
Osteopathic Medicine
Type
General Practice
License number
Illinois 036062316
Category
Medical Practice
Type
Obesity Medicine
Owner
Name: DR. PAMELA ELISE SMITH MD
Title: PRESIDENT
Phone: (773) 542-0517
Address
Address
1950 S Avers Ave, Chicago, IL 60623
National Provider ID: 1407009103
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PAMELA E. SMITH, MD, MPH, CHES, SC

Chicago, IL 60623

Status:
Inactive
Registration:
Jun 10, 2004
State ID:
63607053
Business type:
Domestic Bca
Expiration:
Perpetual
Agent:
Pamela Elise Smith,1950 S Avers Ave, Chicago, IL 60623 (Physical)

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