Individual
JILIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14128 MARSHFIELD AVE, DIXMOOR, IL 60426-1130
(708) 595-0212
Mailing address
14128 MARSHFIELD AVE, DIXMOOR, IL 60426-1130
(708) 595-0212
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
12/28/2017
Last updated
12/28/2017
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