Individual
JAMIL AKEEM SMART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1775 DEMPSTER ST, PARK RIDGE, IL 60068-1143
(414) 647-3492
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
041455486
IL
363L00000X
Nurse Practitioner
Primary
209-027259
IL
Other
Enumeration date
02/07/2023
Last updated
07/27/2023
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