Maurice Erick Smith

Primary specialty

DriverTaxonomy code 172A00000X

License

S53054568009 Issued in IL

Practice address

9839 South Charles Street
Chicago, IL 60643-1205

Phone

(773) 750-2282

NPI assigned

Aug 14, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1660435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660435200000",
    "number": "1144958489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11005 S MICHIGAN AVE STE 427",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606284308",
            "telephone_number": "773-453-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9839 SOUTH CHARLES STREET",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431205",
            "telephone_number": "773-750-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MAURICE",
        "middle_name": "ERICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-14",
        "last_updated": "2022-08-14",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "IL",
            "license": "S53054568009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Marian Smith, PT
• Mashana L Smith, PHD
• Matthew Smith, LCPC
• Matthew J Smith, PH.D., LCSW
• Maureen A Smith, NP
• Meara Smith, LMFT
• Megan Smith, LPC
• Megan Kristen Smith, PA-C
• Meghan Joy Smith, M.D. FRCSC
• Melanie M Smith, MD

• Driver in Chicago, IL
• Providers in Chicago, IL by specialty
• Driver in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2022; 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.