Search › Illinois › 172A00000X
Coran Smith
NPI 1790436277 · on the registry since 2022
Practice
- Address
- 517 W 103rd Pl
Chicago, IL 60628 - Phone
- (773) 812-5675
Additional practice sites
- 6545 W Dickens Ave, Chicago, IL
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-01-16
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