Individual
SYLVIA PEREZ SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-5300
Mailing address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(773) 317-1839
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.009698041.348598
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209.009698041.348598
209.009698041.348598
IL
Enumeration date
05/16/2013
Last updated
12/02/2021
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