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Individual

ELIZA J SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1201 WOODDELL WAY STE B, MATTOON, IL 61938-1014
(217) 238-3000
(217) 238-3008
Mailing address
PO BOX 372, MATTOON, IL 61938-0372

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209007289
IL

Other

Enumeration date
10/07/2008
Last updated
09/24/2025
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