Individual
MRS. MICHELLE DAWN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
410 1ST ST, KIRKLAND, IL 60146-7700
(815) 522-2659
(815) 522-3185
Mailing address
410 1ST ST, KIRKLAND, IL 60146-7700
(815) 522-2659
(815) 522-3185
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
041.319868
IL
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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