| Eleanor G Smith MD | |
|
530 Winnetka Ave Winnetka IL 60093-4023 | |
| (847) 441-6869 | |
| (847) 441-6895 |
| Full Name | Eleanor G Smith MD |
|---|---|
| Speciality | Internal Medicine |
| Location | 530 Winnetka Ave, Winnetka, Illinois |
| Authorized Official Name and Position | Eleanor Smith Smith (MEDICAL DOCTOR) |
| Authorized Official Contact | 8474416869 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eleanor G Smith MD 530 Winnetka Ave Winnetka IL 60093-4023 Ph: (847) 441-6869 | Eleanor G Smith MD 530 Winnetka Ave Winnetka IL 60093-4023 Ph: (847) 441-6869 |
| NPI Number | 1285314641 |
|---|---|
| Provider Enumeration Date | 07/20/2023 |
| Last Update Date | 07/20/2023 |
| Certification Date | 07/20/2023 |
| Medicare PECOS PAC ID | 6002261930 |
|---|---|
| Medicare Enrollment ID | O20231013000102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285314641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Eleanor G Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942459292 PECOS PAC ID: 9739340142 Enrollment ID: I20120411000770 |
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