Individual
JENNIFER CHRISTINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 SAINT ELIZABETH BLVD, O FALLON, IL 62269-1099
(618) 234-2120
Mailing address
PO BOX 19679, SPRINGFIELD, IL 62794-9679
(217) 545-3518
(217) 545-2711
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036163996
IL
207P00000X
Emergency Medicine Physician
125075844
IL
Other
Enumeration date
05/06/2020
Last updated
03/06/2024
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