Individual provider · Type 1 NPI

Wilven Smoody, DPM

Foot & Ankle Surgery Podiatrist · Evanston, IL

NPI number 1386445559 Active

Practice location

2650 Ridge Ave Ste 1304
Evanston, IL 60201-1700

Mailing address

180 Harvester Dr Ste 110
Burr Ridge, IL 60527-6686

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X135.011505 (IL)
Podiatrist 213E00000X11235813 (PA)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1386445559

Wilven Smoody, DPM's National Provider Identifier is 1386445559, issued on Mar 22, 2025. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Evanston, IL. The record was last updated on Jun 24, 2026.