Provider Demographics
NPI:1851607998
Name:EDUARDO SMITH SINGARES MD SC
Entity Type:Organization
Organization Name:EDUARDO SMITH SINGARES MD SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH SINGARES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-612-2223
Mailing Address - Street 1:809 W COLLEGE PKWY
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60608-2028
Mailing Address - Country:US
Mailing Address - Phone:312-612-2223
Mailing Address - Fax:
Practice Address - Street 1:809 W COLLEGE PKWY
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60608-2028
Practice Address - Country:US
Practice Address - Phone:312-612-2223
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-26
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty