Provider Demographics
NPI:1477629491
Name:SMALLWOOD, JOHN THOMAS (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:THOMAS
Last Name:SMALLWOOD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2448 BROOKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:FLOSSMOOR
Mailing Address - State:IL
Mailing Address - Zip Code:60422-1826
Mailing Address - Country:US
Mailing Address - Phone:708-957-3383
Mailing Address - Fax:708-957-3348
Practice Address - Street 1:2448 BROOKWOOD DR
Practice Address - Street 2:
Practice Address - City:FLOSSMOOR
Practice Address - State:IL
Practice Address - Zip Code:60422-1826
Practice Address - Country:US
Practice Address - Phone:708-957-3383
Practice Address - Fax:708-957-3348
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology