Pamela E Smith MD MPH Ches SC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

036062316 Issued in IL

Legal business name

PAMELA E SMITH MD MPH CHES SC

Practice address

2701 W 68TH St
Chicago, IL 60629-1813

Phone

(773) 884-7920

Fax

(773) 884-8065

NPI assigned

Jul 13, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pamela Eleashia Smith, MD

Title

President

Phone

(773) 490-8842

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342137600000",
    "number": "1093070211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 S AVERS AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606232450",
            "telephone_number": "773-490-8842",
            "fax_number": "773-277-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 W 68TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606291813",
            "telephone_number": "773-884-7920",
            "fax_number": "773-884-8065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA E SMITH MD MPH CHES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-13",
        "last_updated": "2012-07-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "ELEASHIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-490-8842",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036062316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036062316",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas S Palumbo, R.D.
• Nicole Palumbo, M.A., BCBA
• Simy Paluvelil Mathew, DMD, BDS
• Pam Eernisse DPM SC
• Pam Eernisse DPM SC
• Pamela E Smith MD MPH Ches SC
• Pamela L Tickel DC Inc.
• Janssen Barlaan Pamfilo
• Sushmita Pamidi, M.D.
• Rodolfo Pamintuan, M.D.

• Obstetrics & Gynecology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.