Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780918540 Individual Practitioner Female Practitioner

Dr. Kristen Diane Smith , MD

Pediatrics • Joliet, IL

Professional Overview & Biography Verified Profile Summary

Dr. Kristen Smith, MD is a certified Pediatrics practicing in Joliet, IL. With approximately 17 years of clinical experience since graduating from Morehouse School Of Medicine in 2009, Dr. Smith delivers high-quality medical care to the local community at 2100 GLENWOOD AVE.

Dr. Smith does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2100 Glenwood Ave

Joliet, IL 604355487

Telephone 8157252121
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Morehouse School Of Medicine

Graduation Year

2009

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Joliet, IL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
17 Yrs Matches City Avg
City Avg: 17.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
20 Specialists

Practicing in Joliet, IL (3277 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (17 Years) 17 Yrs
Joliet Specialty Average (17.0 Years) 17.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-05-16
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IL 125-055924

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License IN 01096117A

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License IN 01096117A

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036130223 (IL)

Secondary Practice Locations

12750 Saint Francis Dr

Crown Point, IN 463070264

Phone: 2197576005

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

36 Associated Practitioners
Dr. Louis Papaeliou , DO

Preventive Medicine - Occupational Medicine

NPI 1063446979

Doctor of Osteopathic Medicine (D.O.)

NPI 1063620607

Doctor of Medicine (M.D.)

NPI 1073558466

Doctor of Medicine (M.D.)

Dr. Punit Vajaria , MD

Internal Medicine

NPI 1083648992

Doctor of Medicine (M.D.)

NPI 1164795373

Doctor of Medicine (M.D.)

NPI 1174557086

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2025

Pediatrics (License #01096117A in IN)

📍
Updated Business Mailing Address August 22, 2023

Registered at PO BOX 713260, CHICAGO, IL 606771260 (Tel: 6304699200)

📍
Updated Practice Location April 16, 2021

Registered at 2100 GLENWOOD AVE, JOLIET, IL 604355487 (Tel: 8157252121)

📍
Updated Business Mailing Address April 16, 2021

Registered at 1860 PAYSPHERE CIR, CHICAGO, IL 606740018 (Tel: 6309427998)

NPI Profile Active August 11, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 11, 2015

Registered at 400 N HIGHLAND AVE, AURORA, IL 605063814 (Tel: 6308924355)

📍
Updated Business Mailing Address August 11, 2015

Registered at 400 N HIGHLAND AVE, AURORA, IL 605063814 (Tel: 6308924355)

👤
Provider Name / Credentials Updated August 11, 2015

Recorded as KRISTEN SMITH, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2015

Pediatrics (License #125-055924 in IL)

🟢
Initial NPI Registration & Enumeration September 28, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780918540
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2009
Last Update: May 16, 2025
Sole Proprietor: No

Mailing Address

Po Box 713260

Chicago, IL 606771260

Phone: 6304699200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.