Individual
KAM SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
41W400 SILVER GLEN RD, ST CHARLES, IL 60175-8453
(331) 901-4225
Mailing address
1432 HUNTCLIFF RD, BARTLETT, IL 60103-1838
(224) 239-8188
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
04311118075
IL
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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