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Contact Information

VERNON M SMITH, APN
5500 S DAMEN AVE
CHICAGO, IL60636-1107
 Phone: 773-776-8800
 Fax: 773-776-8801
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Acute Care

363LA2100X 50 Nurse Practitioner
 

Community Health

363LC1500X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for VERNON M SMITH · (Male)

NPI Number 1952564551
Status Active
Credentials APN
Entity Individual
Enumeration date 07/03/2008
Last updated 07/03/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 209-000798
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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