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1245928589
CHANEL SMITH
MATTESON, IL
NPI
1245928589
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209-027275)
Enumeration Date
2023-04-25
Last Update Date
2023-04-25
Business Address
CHANEL SMITH FNP-C
205 TIMBERLANE RD
MATTESON, IL 60443-1040
Phone number: 708-654-8999
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Mailing Address
CHANEL SMITH FNP-C
205 TIMBERLANE RD
MATTESON, IL 60443-1040
Phone number: 708-654-8999
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