SearchIllinois156FX1800X

Wendy Smith

NPI 1770761306 · on the registry since 2008 · sole proprietor

Practice

Address
8424 N Knoxville Ave
Peoria, IL 61615
Phone
(309) 693-0100
Organisation at this address
Wendy'S Eyeglass Shack, Inc.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
156FX1800X
156FX1800X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-02-06

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