Dr Kyla Nichelle Smith, MD | |
3059 W 26th St, Chicago, IL 60623 | |
(773) 584-6200 | |
Not Available |
Full Name | Dr Kyla Nichelle Smith |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 3059 W 26th St, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316075559 | NPI | - | NPPES |
036.128969 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080A0000X | Pediatrics - Adolescent Medicine | 036-128969 (Illinois) | Secondary |
208000000X | Pediatrics | 036-128969 (Illinois) | Primary |
Entity Name | Esperanza Health Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124187125 PECOS PAC ID: 2961453105 Enrollment ID: O20050204000750 |
Mailing Address | Practice Location Address |
---|---|
Dr Kyla Nichelle Smith, MD 2001 S California Ave Ste 100, Chicago, IL 60608-2486 Ph: (773) 584-6200 | Dr Kyla Nichelle Smith, MD 3059 W 26th St, Chicago, IL 60623 Ph: (773) 584-6200 |
Nupur Mittal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1725 W. Harrison St Suite 710, Rush University Medical Center,, Chicago, IL 60612 Phone: 312-942-5983 Fax: 312-563-2519 | |
Dr. Gustave Falciglia, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave # 45, Chicago, IL 60611 Phone: 312-227-4190 | |
Bessey Elizabeth Jose Geevarghese, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 225 E Chicago Ave, Chicago, IL 60611 Phone: 630-933-6631 | |
Bernadeta Leegan Wibisono, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2951 S King Dr Apt 1004, Chicago, IL 60616 Phone: 312-351-1346 | |
Allie Dakroub, MD MS Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 773-702-1000 | |
Ajay Bhasin, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 251 E Huron St, Chicago, IL 60611 Phone: 312-926-5924 | |
Kyle L Macquarrie, MD PHD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave # 30, Chicago, IL 60611 Phone: 312-227-4000 |