Individual
MRS. MEGAN KRISTEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2800 S CALIFORNIA AVE, CHICAGO, IL 60608-5107
(773) 869-7488
(773) 869-3578
Mailing address
2800 S CALIFORNIA AVE, CHICAGO, IL 60608-5107
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085003123
IL
Other
Enumeration date
03/14/2008
Last updated
04/30/2021
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