SearchIllinois101YP2500X

Glenda Smith, PHD

NPI 1316236748 · on the registry since 2011 · sole proprietor

Practice

Address
6526 S Woodlawn Ave # 3
Chicago, IL 60637
Phone
(312) 636-5331
Fax
(773) 363-1899

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-04-06

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