person
Emmett Smith JR.
Surgical Physician Assistant in Tinley Park, Illinois
NPI 1649694936

Emmett Smith JR. is a Surgical Physician Assistant based in Tinley Park, IL and is specialized in Surgical. Emmett Smith JR. practices in Tinley Park, IL. The NPI Number for Emmett Smith JR. is 1649694936 and holds a License No. (Illinois).

The current practice location address for Emmett Smith JR. is 18660 Graphic Dr, Tinley Park, IL and can be reached out via phone at 708-263-2000 and via fax at 708-263-2024. You can also correspond with Emmett Smith JR. through the mailing address at 18660 GRAPHIC DR, TINLEY PARK, IL - 60477-6260 (mailing address contact number: 708-263-2000).

Location: 18660 Graphic Dr, Tinley Park, IL, 60477-6260
person
Provider Profile Details
NPI Number
1649694936
Provider Name
Emmett Smith JR.
Credential
Provider Entity Type
Individual
Gender
Female
Address
18660 Graphic Dr, Tinley Park, IL, 60477-6260
Phone Number
708-263-2000
Fax Number
708-263-2024
Provider Enumeration Date
02/07/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
238000399 01 IL SURGICAL ASSISTANT
institution
Provider Business Practice Location Address Details
Address
18660 Graphic Dr
City
State
Zip
60477-6260
Phone Number
708-263-2000
Fax Number
708-263-2024
person
Provider Business Mailing Address Details
Address
18660 Graphic Dr
City
State
Zip
60477-6260
Phone Number
708-263-2000
Fax Number
708-263-2024
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
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Definition
Definition to come...
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