CHANEL SMITH

MATTESON, IL
NPI1245928589
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209-027275)
Enumeration Date2023-04-25
Last Update Date2023-04-25
Business Address
CHANEL SMITH FNP-C
205 TIMBERLANE RD
MATTESON, IL 60443-1040
Phone number: 708-654-8999
Mailing Address
CHANEL SMITH FNP-C
205 TIMBERLANE RD
MATTESON, IL 60443-1040
Phone number: 708-654-8999