Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ivan Smiley, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063332559

Dr. Ivan Smiley, MD is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2026.

Licensed in
IL
In the registry since
2026
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1431 N Western Ave Ste 406
Chicago, IL 60622-1774
Phone: (312) 633-5841
Fax: (312) 491-5020
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (IL)

Record details

NPI number1063332559
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 16, 2026
Last updated in NPPESAugust 8, 2026
Certification dateAugust 8, 2026
Mailing address1127 N Oakley Blvd Fl 2, Chicago, IL 60622-3507

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