Provider Demographics
NPI:1033791801
Name:SMITH, STEVEN HUGH PATRICK (MBBS)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:HUGH PATRICK
Last Name:SMITH
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:792 EAST ASCOT GREATER PORTMORE
Mailing Address - Street 2:
Mailing Address - City:PORTMORE
Mailing Address - State:ST CATHERINE
Mailing Address - Zip Code:JMACE13
Mailing Address - Country:JM
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:251 EAST HURON STREET
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611
Practice Address - Country:US
Practice Address - Phone:312-926-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-22
Last Update Date:2023-11-22
Deactivation Date:2022-03-02
Deactivation Code:
Reactivation Date:2022-03-17
Provider Licenses
StateLicense IDTaxonomies
IL036167308207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology