Bruce W Smit (NPI# 1205831948, PAC ID# 7911076849) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
Nation Provider ID (NPI) | 1205831948 |
PAC ID by PECOS | 7911076849 |
Professional Enrollment ID | I20080519000667 |
Full Name | Bruce W Smit |
Address |
24560 Kings Rd Kings Road Prof Bldg Crete IL 60417 |
Gender | M |
Graduation Year | 1972 |
Primary Specialty | PODIATRY |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
140213 | SILVER CROSS HOSPITAL AND MEDICAL CENTERS |
Address | Phone | Organization |
---|---|---|
24560 Kings Rd, Kings Road Prof Bldg, Crete, IL 60417 | ||
9875 W Lincoln Hwy, Suite 101, Frankfort, IL 60423-1931 |
Street Address |
24560 KINGS RD KINGS ROAD PROF BLDG |
City | CRETE |
State | IL |
Zip | 60417 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jessica Rae Delgado | Nurse Practitioner | Midwest Post Acute Care LLC | 1251 E Richton Rd, Crete, IL 60417-1623 |
Suresh C Shah | Emergency Medicine | 1251 E Richton Rd, Crete, IL 60417-1623 | |
Asra B Khan | Obstetrics/gynecology | Specialty Physicians of Illinois LLC | 1251 E Richton Rd, Crete, IL 60417-1623 |
Judith A. Dygdon | Psychologist, Clinical | 1230 Main St, Crete, IL 60417-2145 | |
Paula Thigpen | Clinical Social Worker | 2518 E Creekwood Ct, Crete, IL 60417-2603 | |
Barbara J Gerk | Physical Therapy | Independence Physical Therapy PC | 1397 Main St A, Crete, IL 60417-2951 |
Daniel G Gerk | Physical Therapy | Independence Physical Therapy PC | 1397 Main St A, Crete, IL 60417-2951 |
Christine Marie Pong | Physical Therapy | Independence Physical Therapy PC | 1397 Main St A, Crete, IL 60417-2951 |
Paul A Veld | Optometry | 1080 E Exchange St, Crete, IL 60417-3454 |
City | CRETE |
Zip Code | 60417 |
Specialty | PODIATRY |
City + Specialty | CRETE + PODIATRY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.