MEDICARE: EDUARDO SMITH SINGARES MD SC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician

General Provider Information

NPI Number	:	1851607998
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EDUARDO SMITH SINGARES MD SC

Provider Business Mailing Address
First Line	:	809 W COLLEGE PKWY
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60608-2028
Country	:	US
Telephone Number	:	312-612-2223
Fax Number	:

Provider Business Practice Location Address
First Line	:	809 W COLLEGE PKWY
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60608-2028
Country	:	US
Telephone Number	:	312-612-2223
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	DR. EDUARDO SMITH SINGARES
Credential	:	MD
Telephone Number	:	312-612-2223

Provider Enumeration Date	:	08/26/2010
Last Update Date	:	07/06/2011

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