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Patrika Lecanda Smith

Internal Medicine

Allopathic & Osteopathic Physicians

1901 W Harrison St, Chicago, IL 60612-3714

PECOS Enrollment

This provider is enrolled in PECOS as PATRIKA SMITH.

Based on the most recent information from CMS, provider Patrika Lecanda Smith is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1053343814
Provider Type
Individual
Full Name
Smith, Patrika Lecanda
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
7/6/2006
Last Updated
3/8/2023

Contact Information

Practice Location

1901 W Harrison St, Chicago, IL 60612-3714

(312) 864-6000

(312) 864-9500

Mailing Location

1950 W Polk St # 6-123, Chicago, IL 60612-3723

(312) 864-4419

(312) 864-9500

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 036085130 Illinois

Patrika Lecanda Smith

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Warraich, Muhammad Sheharyar

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Nauman, Ahmad

Mclaughlin, Margaret A.

Ekpenyong, Andem E

Read, Keaton Carpenter

Njoku, Franklin Udoka