Individual
MS. COLLEEN MARIE SMYRNIOTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
660 N WESTMORELAND RD, LAKE FOREST, IL 60045-1659
(847) 535-6715
(847) 535-7880
Mailing address
660 N WESTMORELAND RD, LAKE FOREST, IL 60045-1659
(847) 535-6715
(847) 535-7880
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
209002019
IL
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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