Coran Smith is a Driver based in Kalispell, IL. Coran Smith practices in Chicago, IL. The NPI Number for Coran Smith is 1790436277 and holds a License No. S53010478239 (Illinois).
The current practice location address for Coran Smith is 517 W 103Rd Pl, Chicago, IL and can be reached out via phone at 773-812-5675.
Location: 517 W 103Rd Pl, Chicago, IL, 59901-5635
Provider Profile Details
NPI Number
1790436277
Provider Name
Coran Smith
Credential
Provider Entity Type
Individual
Gender
Male
Address
517 W 103Rd Pl, Chicago, IL, 59901-5635
Phone Number
773-812-5675
Fax Number
Provider Enumeration Date
01/16/2022
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
517 W 103Rd Pl
City
State
Zip
60628-2407
Phone Number
773-812-5675
Fax Number
Provider Business Mailing Address Details
Address
517 W 103Rd Pl
City
State
Zip
60628-2407
Phone Number
773-812-5675
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
S53010478239 (Illinois)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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