Individual
VANESSA SMITH-WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
414 W 98TH PL, CHICAGO, IL 60628-1250
(312) 796-4394
Mailing address
414 W 98TH PL, CHICAGO, IL 60628-1250
(312) 796-4394
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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