Individual
MS. CHRISTINE ANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
115 N PARKSIDE AVE, CHICAGO, IL 60644-3040
(773) 921-9669
(773) 921-2609
Mailing address
2315 WESLEY AVE, BERWYN, IL 60402-2459
(708) 749-2058
(773) 921-2609
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209001830
IL
Other
Enumeration date
10/11/2006
Last updated
01/29/2009
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