Individual
SAMUEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1752 CAPITAL ST, ELGIN, IL 60124-7896
(847) 695-3680
Mailing address
1752 CAPITAL ST, ELGIN, IL 60124-7896
(847) 695-3680
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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