| Doctor Name: | CLASINA LESLIE SMITH |
| NPI Number: | 1437342433 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | A118378 |
| Business Practice Address: | 4753 N Broadway St Suite 910 Chicago, IL - 606405266 |
| Business Phone Number: | 7736093520 |
| Business Fax Number: | |
| Mailing Address: | 5312 N Winthrop Ave, Apt 1n CHICAGO |
| State: | IL |
| Postal Code: | 606402389 |
| Phone Number: | 7733502725 |
| Fax Number: | |
| NPI Enumeration Date: | 08/22/2007 |
| NPI Last Update Date: | 08/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A118378 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |