Search › Illinois › 106S00000X
Benji Smith
NPI 1790377125 · on the registry since 2021
Practice
- Address
- 75 Kitty Ln
Carbondale, IL 62901 - Phone
- (618) 201-3217
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Also registered as
- 101Y00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-08-27
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