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Jeremy Smith

Physical Therapist - Sports

1920 Football Dr
Lake Forest , Illinois 60045-4829

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Jeremy Smith

Physical Therapist - Sports

1920 Football Dr
Lake Forest , Illinois 60045-4829

(847) 739-5405

Write a Review Save Call

Jeremy Smith

Physical Therapist - Sports

1920 Football Dr
Lake Forest , Illinois 60045-4829

(847) 739-5405 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Physical Therapist - Sports

Languages spoken

  • English

Location

1920 Football Dr Lake Forest , Illinois 60045-4829

First Address

  • Jeremy Smith
  • 1920 Football Dr
  • Lake Forest, IL
  • Zip : 60045-4829
  • Phone : (847) 739-5405

Second Address

  • Jeremy Smith
  • 1920 Football Dr
  • Lake Forest, IL
  • Zip : 60045-4829
  • Phone : (847) 739-5405

Reviews

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FAQs


Where did Jeremy Smith attend graduate school?

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Where did Jeremy Smith do his residency?

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Where did Jeremy Smith do his fellowship?

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Is Jeremy Smith board certified?

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What type of doctor is Jeremy Smith

Physical Therapist - Sports

In what state does Jeremy Smith practice in?

Illinois

Where is Jeremy Smith ’s practice located?

1920 Football Dr , Lake Forest, Illinois, 60045-4829

What is Jeremy Smith ’s gender?

Male

Is Jeremy Smith a sole practitioner?

No

Is Jeremy Smith accepting new patients?

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What languages does Jeremy Smith speak?

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Does Jeremy Smith accept insurance?

Yes, Jeremy Smith accepts insurance

Does Jeremy Smith offers telemedicine?

Jeremy Smith has not indicated if he offers telemedicine

What is Jeremy Smith ’s professional license number?

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What is Jeremy Smith ’s NPI number?

1184830812

Does Jeremy Smith have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 2251S0007X Physical Therapist - Sports 070.016666 IL

National Provider Identifier

NPI 1184830812
Provider Name Jeremy Smith
First Address Lake Forest, IL 60045-4829
Second Address Lake Forest, IL 60045-4829
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 16/05/2007
Last Update Date 18/08/2013

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
070.016666 IL LICENSE PT (01) IL
070.016666 ILLINOIS STATE LICENSE (01) IL
096.002695 IL LICENSE ATC (01) IL
096.002695 ILLINOIS STATE LICENSE (01) IL

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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