Individual
MR. MICHAEL R SMALARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MT (ASCP)
Contact information
Practice address
5TH AVE AND ROOSEVELT RD, EDWARD HINES JR HOSPITAL, HINES, IL 60141-5000
(708) 202-8387
Mailing address
9338 BAYBERRY LN, TINLEY PARK, IL 60487
(708) 614-0725
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
—
IL
Other
Enumeration date
07/05/2007
Last updated
07/08/2007
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