Individual
ALLISON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 KISH HOSPITAL DR, DEKALB, IL 60115-9602
(815) 756-1521
Mailing address
1128 S SCOVILLE AVE, OAK PARK, IL 60304-2130
(708) 382-1413
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209020959
IL
Other
Enumeration date
04/01/2020
Last updated
04/01/2020
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