Individual
ANTOINETTE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
14526 S CALHOUN AVE, BURNHAM, IL 60633-2208
(773) 426-0040
Mailing address
14526 S CALHOUN AVE, BURNHAM, IL 60633-2208
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.138665
IL
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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