Individual
AIPING SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4121 VETERANS MEMORIAL DR, MOUNT VERNON, IL 62864-6262
(618) 242-3778
(618) 242-2551
Mailing address
4121 VETERANS MEMORIAL DR, MOUNT VERNON, IL 62864-6262
(618) 242-3778
(618) 242-2551
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
036115516
IL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036115516
IL
Other
Enumeration date
08/23/2006
Last updated
07/24/2012
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