Individual
SIERRA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6301 S HALSTED ST, CHICAGO, IL 60621-2709
(773) 602-5062
Mailing address
1543 S DRAKE AVE, CHICAGO, IL 60623-2169
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/28/2020
Last updated
04/28/2020
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