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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THERESA TALIA SMITH

Active

THERESA TALIA SMITH is a Emergency Medical Technician, Basic healthcare provider located in LAKE BLUFF, Illinois. NPI 1518778117 is currently active in the NPPES registry. Verify at CMS.

Emergency Medical Technician, Basic · LAKE BLUFF, IL

Registration Details

NPI Number
1518778117
Provider Type
Individual
Gender
Female
NPI Issued
Jan 14, 2025 (1.5964558338381 yrs)
Last Updated
Jan 14, 2025
License
060991056 (IL)

Practice Information

Address
122 BAKER RD
LAKE BLUFF, IL, 600441424
Browse IL providers · Browse ZIP 60044
Phone
6304867068
Primary Specialty
Emergency Medical Technician, Basic
146N00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.