John Smith, M.D.F.A.C.S.

NPI #1134300510 in Wilmette, Illinois

Provider Information

NPI Number: 1134300510
Entity Type: Individual
Name: John Smith, M.D.F.A.C.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Plastic Surgery
Credential: M.D.F.A.C.S.
Enumeration Date: Nov 14, 2007
Last Updated: Nov 14, 2007

Practice Location

Address: 3612 LAKE AVE
Address 2: SUITE 2A
City: Wilmette
State: Illinois
ZIP Code: 60091-1000
Phone: (847) 251-3700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X	Primary

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