Individual
MRS. TILA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
524 PRAIRIE POINT DR, POPLAR GROVE, IL 61065-7816
(224) 523-4334
Mailing address
524 PRAIRIE POINT DR, POPLAR GROVE, IL 61065-7816
(224) 523-4334
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.132303
IL
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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