Individual
ALYSON L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PA-C
Contact information
Practice address
16660 107TH ST, ORLAND PARK, IL 60467-8898
(708) 403-8500
Mailing address
819 INVERNESS RD, LISLE, IL 60532-2463
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085000656
IL
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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