Individual
THIERA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2128 N MAPLEWOOD AVE APT 1, CHICAGO, IL 60647-4116
(773) 988-7370
Mailing address
2128 N MAPLEWOOD AVE APT 1, CHICAGO, IL 60647-4116
(773) 988-7370
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.001358
IL
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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