Provider Demographics
NPI:1427044833
Name:SMOROWSKI, KAREN MARIE (MD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:MARIE
Last Name:SMOROWSKI
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:2520 ELISHA AVENUE
Mailing Address - Street 2:CANCER TREATMENT CENTER OF AMERICA MIDWESTERN REGIONAL
Mailing Address - City:ZION
Mailing Address - State:IL
Mailing Address - Zip Code:60099
Mailing Address - Country:US
Mailing Address - Phone:847-872-6259
Mailing Address - Fax:847-872-5716
Practice Address - Street 1:2520 ELISHA AVENUE
Practice Address - Street 2:CANCER TREATMENT CENTER OF AMERICA MIDWESTERN REGIONAL
Practice Address - City:ZION
Practice Address - State:IL
Practice Address - Zip Code:60099
Practice Address - Country:US
Practice Address - Phone:847-872-6259
Practice Address - Fax:847-872-5716
Is Sole Proprietor?:No
Enumeration Date:2005-09-21
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL3060957342085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036095734Medicaid
IL036095734Medicaid
G68453Medicare UPIN