MATTHEW SMITH

CHICAGO, IL
NPI1114508256
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: IL  125078128)
Additional Taxonomies207R00000X Internal Medicine
(Licence: IL  125.078128)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-04-20
Last Update Date2022-06-01
Business Address
MATTHEW SMITH
5841 S MARYLAND AVE # MC2030
CHICAGO, IL 60637-1443
Phone number: 773-702-6222
Mailing Address
MATTHEW SMITH
180 HARVESTER DR STE 110
BURR RIDGE, IL 60527-6686
Phone number: 773-702-1150