Individual
MRS. SHANNON SMOTHERS-WANSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-8387
Mailing address
3205 SAINT CHARLES RD APT 1, BELLWOOD, IL 60104-1574
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
—
—
246RM2200X
Medical Laboratory Technician
Primary
—
—
Other
Enumeration date
01/09/2026
Last updated
01/12/2026
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