Individual
SMITHA JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-CNP
Contact information
Practice address
1950 W POLK ST, CHICAGO, IL 60612-3723
(312) 864-0726
(312) 864-9734
Mailing address
1950 W POLK ST, CHICAGO, IL 60612-3723
(312) 864-6445
(312) 864-9734
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209015011
IL
Other
Enumeration date
11/15/2016
Last updated
05/23/2022
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