Stephanie M Smith

NPI #1477312577 in Johnsburg, Illinois

Provider Information

NPI Number: 1477312577
Entity Type: Individual
Name: Stephanie M Smith
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Mar 19, 2024
Last Updated: Mar 19, 2024

Practice Location

Address: 3703 MONICA LN
City: Johnsburg
State: Illinois
ZIP Code: 60051-2007
Phone: (815) 245-3243

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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