Search › Illinois › 235Z00000X
Agnes Smith, ST
NPI 1154419455 · on the registry since 2006
Practice
- Address
- 406 S Gosse Blvd
Princeton, IL 61356 - Phone
- (815) 875-4548
- Fax
- (815) 875-8602
- Organisation at this address
- Gateway Services, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois