Individual
ERIC SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2322 W 114TH ST, CHICAGO, IL 60643-4153
(773) 971-3472
Mailing address
2322 W 114TH ST, CHICAGO, IL 60643-4153
(773) 971-3472
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041450287
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
28298043A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/12/2025
Last updated
01/07/2026
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