Individual
DORIS E SMITH
Active
Individual
DORIS E SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
041407172
IL
363LF0000X
Family Nurse Practitioner
Primary
209.032938
IL
Other
Enumeration date
07/17/2025
Last updated
10/10/2025
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