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Individual

MS. JAIMEE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN, C.N.P.

Contact information

Practice address
9669 KENTON AVE, SUITE 608, SKOKIE, IL 60076-1266
(847) 677-4111
(847) 677-3343
Mailing address
9669 KENTON AVE, SUITE 608, SKOKIE, IL 60076-1266
(847) 677-4111
(847) 677-3343

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209-005388
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
209005388
IL
Enumeration date
03/31/2006
Last updated
07/12/2019
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