C Leslie Smith MD Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

036124367 Issued in IL

Legal business name

C LESLIE SMITH MD INC

Doing business as

New Leaf Acupuncture

Practice address

4753 N Broadway St
Suite 910
Chicago, IL 60640-5266

Phone

(773) 609-3520

NPI assigned

Aug 5, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Clasina L Smith, MDNPI 1437342433

Title

Owner

Phone

(773) 350-2725

Specialties & licenses 1

Addresses

Other names 1

• New Leaf Acupuncture Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clasina Leslie Smith, M.D.

  • General Practice Physician
  • Chicago, IL
  • NPI 1437342433
  NPD (past) Authorized official

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1376975094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5312 N WINTHROP AVE",
            "address_2": "APT 1N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402389",
            "telephone_number": "773-350-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4753 N BROADWAY ST",
            "address_2": "SUITE 910",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405266",
            "telephone_number": "773-609-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C LESLIE SMITH MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-05",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CLASINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-350-2725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "IL",
            "license": "036124367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Leaf Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.