Search › Illinois › 1744P3200X
Tiesha Smith
NPI 1437513553 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1800 Rockingham Dr
Apt 1d
Normal, IL 61761 - Phone
- (309) 310-5918
Registry record
- Primary taxonomy
- 1744P3200X
1744P3200X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-04-06
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