Search › Illinois › 3747P1801X
Shanna Smith
NPI 1518707892 · on the registry since 2024
Practice
- Address
- 538 May St
Waukegan, IL 60085 - Phone
- (877) 909-3824
- Organisation at this address
- Mhcs Unincorporated Association
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 3747P1801X
3747P1801X
- Also registered as
- 374U00000X
- Sex
- Male
- Record last updated
- 2024-05-25
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