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1619176021
TRAVIS R SMITH
CHICAGO, IL
NPI
1619176021
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: IL 085002991)
Enumeration Date
2007-07-16
Last Update Date
2009-11-24
Business Address
-- TRAVIS R SMITH PA-C
1611 W HARRISON ST STE 400
CHICAGO, IL 60612-3841
Phone number: 312-243-4244
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Mailing Address
-- TRAVIS R SMITH PA-C
1 WESTBROOK CORPORATE CTR #240
WESTCHESTER, IL 60154-5701
Phone number: 708-236-2673
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