Individual
MS. DIANE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 INGALLS DR, HARVEY, IL 60426-3558
(708) 331-7800
(708) 339-0695
Mailing address
PO BOX 1886, HARVEY, IL 60426-7886
(708) 331-7800
(708) 331-2345
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
IL
Other
Enumeration date
05/26/2006
Last updated
08/24/2007
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