CLASINA LESLIE SMITH (NPI# 1437342433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437342433 |
| Entity Type | Individual |
| Full Name | CLASINA LESLIE SMITH |
| Credential | M.D. |
| Practice Address |
4753 N Broadway St Suite 910 Chicago IL 60640-5266 |
| Mailing Address |
5312 N Winthrop Ave Apt 1n Chicago IL 60640-2389 |
| Practice Telephone | 7736093520 |
| Mailing Telephone | 7733502725 |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2013-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 036.124367 | IL | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | A118378 | CA | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 036.124367 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
4753 N BROADWAY ST SUITE 910 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60640-5266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578560736 | Roberta Sue Barry | Social Worker | 4753 N Broadway St, Suite 928, Chicago, IL 60640-5266 | 2005-07-02 |
| 1538667084 | Kenan Pojskic | Clinic/Center | 4753 N Broadway St, Chicago, IL 60640-5266 | 2018-01-30 |
| 1033617865 | Kamran Naseem Malik | Clinic/Center | 4753 N Broadway St, Chicago, IL 60640-5266 | 2018-01-26 |
| 1912405895 | Hrishikesh T Shetty | Clinic/Center | 4753 N Broadway St, Chicago, IL 60640-5266 | 2018-01-25 |
| 1639614209 | Joanne Kardell | Social Worker | 4753 N Broadway St, 826, Chicago, IL 60640-5266 | 2017-01-05 |
| 1376997379 | Sachiko Kawata | Social Worker | 4753 N Broadway St, Suite #925, Chicago, IL 60640-5266 | 2016-04-16 |
| 1619321692 | Jennifer Annen | Counselor | 4753 N Broadway St, Suite 826, Chicago, IL 60640-5266 | 2016-04-15 |
| 1619355542 | Mcdermott Center | Substance Abuse Rehabilitation Facility | 4753 N Broadway St, Suite 612, Chicago, IL 60640-5266 | 2015-05-12 |
| 1225434236 | Joanna Vergoth | Social Worker | 4753 N Broadway St, Suite 509, Chicago, IL 60640-5266 | 2014-11-18 |
| 1548662257 | Daniel N Danforth | Acupuncturist | 4753 N Broadway St, Ste 810, Chicago, IL 60640-5266 | 2014-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
| 1548871916 | Borici Counseling LLC | Counselor | 4731 N Paulina St, Chicago, IL 60640 | 2020-08-11 |
| 1306319173 | Gerardo Garcia | Physician Assistant | Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 | 2019-01-04 |
| 1386121283 | Aea Optical Ventures, LLC | Clinic/Center | 4814 N Clark St, Chicago, IL 60640 | 2018-07-24 |
| 1023503885 | Lauren Vassiliades | Internal Medicine | Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 | 2018-06-25 |
| 1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
| 1932622206 | Jasleen Kaur Brar | Internal Medicine | 4646 N. Marine Dr., Chicago, IL 60640 | 2017-07-19 |
| 1750802849 | Umer Mukhtar | Internal Medicine | 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 | 2017-06-29 |
| 1184144081 | Ellie Navidson | Registered Nurse | 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 | 2017-06-21 |
| 1962932558 | Jennifer Stridh | Marriage & Family Therapist | 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 | 2017-06-15 |
| Find all providers in zip 60640 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164067054 | League Corp. | General Practice | 515 N State St Fl 8, Chicago, IL 60654-9102 | 2019-11-14 |
| 1679129977 | Chronic Care Solutions LLC | General Practice | 3050 W Columbia Ave, Chicago, IL 60645-4006 | 2019-08-13 |
| 1952809451 | Josie M Abogast | General Practice | 3219 N. Clark St., Chicago, IL 60657 | 2018-01-30 |
| 1043759939 | Royalty Intervention Group Inc | General Practice | 10307 S Peoria St, Suite 100, Chicago, IL 60643-3007 | 2017-02-13 |
| 1215482567 | David John De Jong | General Practice | 226 W Willow St, Chicago, IL 60614-5716 | 2016-08-16 |
| 1720474885 | Healthwise Medical Clinic LLC | General Practice | 8349 S Baltimore Ave, Chicago, IL 60617-2110 | 2015-04-15 |
| 1578952321 | Joseph Lawrence Mcdevitt | General Practice | 2650 N Orchard St Apt 2f, Chicago, IL 60614-1576 | 2015-01-16 |
| 1548662851 | Healthjoy | General Practice | 208 W Huron St, Chicago, IL 60654-3913 | 2014-09-17 |
| 1629478359 | Alivio Medical Center | General Practice | 1450-1510 W. Cermak Road, Chicago, IL 60608 | 2014-08-29 |
| 1699193409 | Kenya R Thomas | General Practice | 1133 E 83rd St Unit 108, Chicago, IL 60619-6464 | 2014-03-31 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on CLASINA LESLIE SMITH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.