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1386784346
CARROLL EDWARD SMITH
CHICAGO, IL
NPI
1386784346
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207QA0505X Family Medicine, Adult Medicine
(Licence: IL 036-36570)
Enumeration Date
2007-02-07
Last Update Date
2007-07-08
Business Address
Dr. CARROLL EDWARD SMITH M.D.
4215 S KING DR
CHICAGO, IL 60653-2663
Phone number: 773-624-0366
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Mailing Address
Dr. CARROLL EDWARD SMITH M.D.
4900 S GREENWOOD AVE
CHICAGO, IL 60615-2816
Phone number: 773-285-1392
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