Peter Smith

Developmental - Behavioral Pediatrics Physician · Chicago, IL

Individual Active NPI

NPI number 1720142995

Practice location

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone
(888) 824-0200

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NPI record

NPI
1720142995
Entity type
Individual (Type 1)
Enumeration date
December 21, 2006
Last updated
October 24, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Developmental - Behavioral Pediatrics Physician Primary 2080P0006X 036106813 IL

Mailing address

150 Harvester Dr
Suite 300
Burr Ridge, IL 60527-5919

About Peter Smith

Peter Smith is a healthcare provider registered in the NPI registry with the primary taxonomy Developmental - Behavioral Pediatrics Physician (code 2080P0006X). The practice location is 5841 S Maryland Ave, Chicago, IL 60637-1443. The NPI number 1720142995 was assigned on December 21, 2006 and the record was last updated on October 24, 2022.

Peter Smith lists a license in the registry: #036106813 (IL) for Developmental - Behavioral Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Peter Smith?

The NPI number is 1720142995.

What is the phone number of Peter Smith?

The phone number listed for the practice location is (888) 824-0200.

Where is Peter Smith located?

5841 S Maryland Ave, Chicago, IL 60637-1443.

What is the taxonomy code for Peter Smith?

The primary taxonomy code is 2080P0006X – Developmental - Behavioral Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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