Search › Illinois › 2355S0801X
Jackie Smith
NPI 1952226532 · on the registry since 2026 · sole proprietor
Practice
- Address
- 2n564 Bernice Ave
Glen Ellyn, IL 60137 - Phone
- (815) 514-4789
Registry record
- Primary taxonomy
- 2355S0801X
2355S0801X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-12
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