Functional Regenerative Services of Illinois Ltd LLC
NPI #1043891880 in Tuscola, Illinois
Provider Information
- NPI Number
- 1043891880
- Entity Type
- Organization
- Organization Name
- Functional Regenerative Services of Illinois Ltd LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Apr 14, 2021
- Last Updated
- Jun 3, 2021
Practice Location
Authorized Official
- Name
- KRISTINA NICOLE SMITH, APRN-FNP-C
- Title
- NURSE PRACTITIONER
- Phone
- (217) 253-2370
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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