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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

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About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Nurse Practitioner
  • Nurse Practitioner - Acute Care
  • Nurse Practitioner - Community Health
  • Nurse Practitioner - Pediatrics

Languages spoken

  • English

Location

5500 S Damen Ave Chicago , Illinois 60636-1107

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


Where did Mr. Vernon Michael Smith attend graduate school?

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Where did Mr. Vernon Michael Smith do his residency?

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Where did Mr. Vernon Michael Smith do his fellowship?

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Is Mr. Vernon Michael Smith board certified?

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What type of doctor is Mr. Vernon Michael Smith

Nurse Practitioner - Pediatrics

In what state does Mr. Vernon Michael Smith practice in?

Illinois

Where is Mr. Vernon Michael Smith ’s practice located?

5500 S Damen Ave , Chicago, Illinois, 60636-1107

What is Mr. Vernon Michael Smith ’s gender?

Male

Is Mr. Vernon Michael Smith a sole practitioner?

No

Is Mr. Vernon Michael Smith accepting new patients?

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What languages does Mr. Vernon Michael Smith speak?

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Does Mr. Vernon Michael Smith accept insurance?

Yes, Mr. Vernon Michael Smith accepts insurance

Does Mr. Vernon Michael Smith offers telemedicine?

Mr. Vernon Michael Smith has not indicated if he offers telemedicine

What is Mr. Vernon Michael Smith ’s professional license number?

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What is Mr. Vernon Michael Smith ’s NPI number?

1952564551

Does Mr. Vernon Michael Smith have any license restrictions?

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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)

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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