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Individual

BILLYE RAYE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-7172
Mailing address
1009 BUCCANEER DR APT 1, SCHAUMBURG, IL 60173-5215
(630) 779-2492

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN087081
GA

Other

Enumeration date
05/03/2012
Last updated
05/03/2012
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