SearchIllinois2255A2300X

Joseph Smith, ATC

NPI 1760898076 · on the registry since 2014

Practice

Address
2122 N 27th St
Decatur, IL 62526
Phone
(217) 876-4976
Fax
(217) 423-4485
Clinicians at this address
8

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-07-08

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