Mr. Vernon Michael Smith
Nurse Practitioner Nurse Practitioner - Acute Care Nurse Practitioner - Pediatrics Nurse Practitioner - Community Health
5500 S Damen Ave
Chicago
, Illinois 60636-1107
Mr. Vernon Michael Smith
Nurse Practitioner Nurse Practitioner - Acute Care Nurse Practitioner - Pediatrics Nurse Practitioner - Community Health
5500 S Damen Ave
Chicago
, Illinois 60636-1107
(773) 776-8801
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Acute Care
- Nurse Practitioner - Community Health
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Mr. Vernon Michael Smith
- 5500 S Damen Ave
- Chicago, IL
- Zip : 60636-1107
- Fax : (773) 776-8801
- Phone : (773) 776-8800
Second Address
- Mr. Vernon Michael Smith
- 5500 S Damen Ave
- Chicago, IL
- Zip : 60636-1107
- Fax : (773) 776-8801
- Phone : (773) 776-8800
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FAQs
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Is Mr. Vernon Michael Smith a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 209-000798 | IL |
| N | 363LA2100X | Nurse Practitioner - Acute Care | 209-000798 | IL |
| N | 363LC1500X | Nurse Practitioner - Community Health | 209-000798 | IL |
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 209-000798 | IL |
National Provider Identifier
| NPI | 1952564551 |
|---|---|
| Provider Name | Mr. Vernon Michael Smith |
| First Address | Chicago, IL 60636-1107 |
| Second Address | Chicago, IL 60636-1107 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/07/2008 |
| Last Update Date | 03/07/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.