WALLACE KENT SMITH

GLENVIEW, IL
NPI1134393010
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160.000336)
Enumeration Date2008-04-22
Last Update Date2008-04-22
Business Address
Mr. WALLACE KENT SMITH
3703 W LAKE AVE SUITE 200
GLENVIEW, IL 60026-5823
Phone number: 847-998-1188
Mailing Address
Mr. WALLACE KENT SMITH
555 W CORNELIA AVE #1906
CHICAGO, IL 60657-2755
Phone number:
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