AVERY SMITH

CHICAGO, IL
NPI1124799655
Former NameAMALIE SMITH
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  209027680)
Additional Taxonomies163W00000X Registered Nurse
(Licence: IL  041400420)
163W00000X Registered Nurse
(Licence: WI  25878830)
Enumeration Date2021-09-23
Last Update Date2023-06-16
Business Address
AVERY SMITH CRNA
1101 W PRATT BLVD APT 2W
CHICAGO, IL 60626-4477
Phone number: 312-953-0564
Mailing Address
AVERY SMITH CRNA
1101 W PRATT BLVD APT 2W
CHICAGO, IL 60626-4477
Phone number: 312-953-0564