Gina Laraine Smith M.D.

NPI 1043326192 - Family Medicine - 207Q00000X

NPI Details
NPI 1043326192
Gender Female
Enumeration Date 08/22/2006
Last Updated 04/12/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
1111 SUPERIOR ST
SUITE 207
MELROSE PARK IL, 60160-4138, US
Phone (708) 406-3040
Fax (708) 406-3059
Business Location
1111 SUPERIOR ST
SUITE 207
MELROSE PARK IL, 60160-4138, US
Phone (708) 406-3040
Fax (708) 406-3059
Toxanomy
Taxonomy Code 207Q00000X
License State Illinois
License Number 036105255
Remove 1043326192 NPI Number
 

According to our database, Dr. Gina Laraine Smith M.D. NPI is 1043326192, taxonomy code is 207Q00000X and license number is 036105255, license state is located at Illinois. Gina Laraine Smith M.D. physically located at 1111 Superior St, Melrose Park IL, 60160-4138. NPI Number Gina Laraine Smith M.D. has the Individual type.

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1043326192 NPI number is provided on an as is basis without warranty of any kind. 1043326192 is maintained by the National Plan & Provider Enumeration System. The contents of Gina Laraine Smith M.D. are for informational purposes only.