Individual
MR. ZACHARY TYLER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
18221 TORRENCE AVE, SUITE 1-B, LANSING, IL 60438-2870
(708) 895-9450
(708) 895-9455
Mailing address
18221 TORRENCE AVE, SUITE 1-B, LANSING, IL 60438-2870
(708) 895-9450
(708) 895-9455
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209010080
IL
Other
Enumeration date
12/18/2012
Last updated
11/01/2013
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