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NPI Code Detail

MEDICARE: ERIN M SMITH BA

MEDICARE: ERIN M SMITH BA
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1306965751
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN M SMITH BA
Provider Business Mailing Address
First Line : 5120 S HARPER AVE
Second Line : C12
City : CHICAGO
State : IL
Zip : 60615-4160
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1325 N WESTERN AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90027-5615
Country : US
Telephone Number : 323-461-3131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2007
Last Update Date : 03/29/2019

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Directions to “ ERIN M SMITH BA” Practice Location

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