Dr. Blake Allen Smith

D.P.M. | Podiatrist | 35+ years Exp


  
40 Skokie Blvd Ste 520, Northbrook
Illinois, 60062-1601

 847-504-5000     847-504-5015Maps & Directions
Dr. Blake Allen Smith is a Northbrook, Illinois based male podiatrist with 35 years of experience in Podiatry. He completed his graduation from William M. Scholl College Of Podiatric Medicine in 1989. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Blake Allen Smith for Podiatry is 016004391 in Illinois.
Dr. Blake Allen Smith is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Blake Allen Smith speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Podiatrist
Credentials: D.P.M.
Experience: 35+ years
Medical School Attended:William M. Scholl College Of Podiatric Medicine
Graduation Year:1989
Gender:Male
Accepts Medicare Assignment:Yes
Practice Address:40 Skokie Blvd Ste 520, Northbrook,
Illinois, 60062-1601
Phone:847-504-5000
Fax:847-504-5015
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 9133308760
Enrollment ID: I20110127000790
NPI Number: 1316978174
NPI Enumeration Date: 06 Jul, 2006
NPI Last Update On: 22 Jan, 2019

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Blake Allen Smith are as mentioned below.
License NumberSpecializationStateStatus
016004391Podiatry IllinoisPrimary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Blake Allen Smith is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Preferred Podiatry Group Pc (3971412677)108
Preferred Podiatry Group Pc (3971412677)108
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Blake Allen Smith such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
07000838OtherIndianaIN LICENSE
016004391OtherIllinoisIL LICENSE
200136480EMedicaidIndiana
859800FOtherIndianaADMINISTAR FEDERAL PIN
P01675626OtherIndianaRAILROAD MEDICARE
016004391MedicaidIllinois
480017243OtherIllinoisRAILROAD MEDICARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Po Box 917,
Northbrook, Illinois
Zip: 60065-0917
Phone Number: 847-504-5000
Fax Number: 847-504-5015
Patients can reach Dr. Blake Allen Smith at 40 Skokie Blvd Ste 520, Northbrook, Illinois or can call to book an appointment on 847-504-5000. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.

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