MS. Imelda Smith, PA-C

NPI #1710312012 in Elgin, Illinois

Provider Information

NPI Number: 1710312012
Entity Type: Individual
Name: MS. Imelda Smith, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 5, 2013
Last Updated: Feb 13, 2017

Practice Location

Address: 1425 N RANDALL RD
City: Elgin
State: Illinois
ZIP Code: 60123-2300
Phone: (847) 742-9800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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