Eleanor Smith MD
Organization Active NPI Internal Medicine Physician · Winnetka, IL
NPI 1285314641 · NPPES record last updated Jul 20, 2023
Key facts
- NPI
- 1285314641
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- ELEANOR SMITH MD
- Practice address
- 530 Winnetka Ave
Winnetka, IL 60093-4023 - Phone
- (847) 441-6869
- Fax
- (847) 441-6895
- NPI assigned
- Jul 20, 2023
- Organization subpart
- No
Authorized official
- Name
- Dr. Eleanor Smith Smith, MD
- Title
- Medical Doctor
- Phone
- (847) 441-6869
Practitioners 6
-
Claire Kenneally, M.D.
-
Patrick W. Logan, MD
-
Carole P. Prete, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231013000102 | IL | Part B Supplier - Clinic/Group Practice | 6002261930 |
Receives reassigned benefits from 1 practitioner Practice locations: Winnetka, IL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
530 Winnetka Ave
Winnetka, IL 60093-4023
Mailing address
530 Winnetka Ave
Winnetka, IL 60093-4023
Phone (847) 441-6869
Other names
- ELEANOR G SMITH MD
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All providers in Winnetka, IL · Internal Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.