Individual
JANEKQUA ANAE SMITH-NICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2320 E 93RD ST, CHICAGO, IL 60617-3909
(773) 967-5436
Mailing address
7208 S EVANS AVE, CHICAGO, IL 60619-1225
(312) 446-5357
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041565032
IL
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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