Individual
ELIZABETH D SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.N., D.N.
Contact information
Practice address
4547 S WABASH AVE, CHICAGO, IL 60653-3814
(312) 771-6112
(773) 373-8994
Mailing address
4547 S WABASH AVE, CHICAGO, IL 60653-3814
(773) 373-8994
(773) 373-8994
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
041-155827
IL
163WM1400X
Nurse Massage Therapist (NMT)
041-155827
IL
174400000X
Specialist
181-000233
IL
Other
Enumeration date
04/02/2007
Last updated
10/07/2009
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