Search › Illinois › 152W00000X
Jonathan Smith, O.D
NPI 1760795231 · on the registry since 2010
Practice
- Address
- 10840 Lincoln Trl
Fairview Heights, IL 62208 - Phone
- (618) 397-8880
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-07-26
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