Individual
EMERSEN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4157 N CLARENDON AVE, CHICAGO, IL 60613-2268
(571) 499-3371
Mailing address
4157 N CLARENDON AVE, CHICAGO, IL 60613-2268
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
004863
NY
Other
Enumeration date
03/28/2025
Last updated
03/28/2025
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