SearchIllinois367500000X

Jessica Smith

NPI 1184305179 · on the registry since 2023

Practice

Address
3n536 Linda Ln
Addison, IL 60101
Phone
(630) 703-9133

Registry record

Primary taxonomy
367500000X
367500000X
Also registered as
163WC0200X
Licence states on file
VA, IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-12-09

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