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1134393010
WALLACE KENT SMITH
GLENVIEW, IL
NPI
1134393010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.000336)
Enumeration Date
2008-04-22
Last Update Date
2008-04-22
Business Address
Mr. WALLACE KENT SMITH
3703 W LAKE AVE SUITE 200
GLENVIEW, IL 60026-5823
Phone number: 847-998-1188
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Mailing Address
Mr. WALLACE KENT SMITH
555 W CORNELIA AVE #1906
CHICAGO, IL 60657-2755
Phone number:
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