Individual
SELENA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
473 W ARMY TRAIL RD STE 103, BLOOMINGDALE, IL 60108-2674
(630) 529-6969
Mailing address
261 CUNNINGHAM LN, BLOOMINGDALE, IL 60108-1915
(224) 456-5470
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209033994
IL
Other
Enumeration date
11/20/2025
Last updated
11/20/2025
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