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Terry Smith
NPI 1861582165 · on the registry since 2006
Practice
- Address
- 5114 N Glen Park Place Rd
Peoria, IL 61614 - Phone
- (309) 683-5600
- Fax
- (309) 683-5607
- Clinicians at this address
- 45
Registry record
- Primary taxonomy
- 208000000X
208000000X
- Also registered as
- 207R00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-11
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