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

1950 S Avers Ave
Chicago, IL 60623-2450

Phone

(773) 542-0517

Fax

(773) 522-3637

NPI assigned

Oct 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Pamela Elise Smith, MD

Title

President

Phone

(773) 542-0517

Specialties & licenses 6

Addresses

Other identifiers 2

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1407009103",
    "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": "773-542-0517",
            "fax_number": "773-522-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 S AVERS AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606232450",
            "telephone_number": "773-542-0517",
            "fax_number": "773-522-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA E SMITH MD MPH CHES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "ELISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-542-0517",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036062316",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036062316",
            "primary": true
        },
        {
            "code": "207VB0002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obesity Medicine",
            "state": "IL",
            "license": "036062316",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "IL",
            "license": "036062316",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "IL",
            "license": "036062316",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "IL",
            "license": "036062316",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "C42702",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036062316",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 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.
• Alexander Y Pan, MD

• 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 Oct 28, 2008; 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.