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

EMMETT SMITH JR.

Active

EMMETT SMITH JR. is a Surgical Physician Assistant healthcare provider located in TINLEY PARK, Illinois. NPI 1649694936 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · TINLEY PARK, IL

Registration Details

NPI Number
1649694936
Provider Type
Individual
Gender
Female
NPI Issued
Feb 7, 2014 (12.548778544933 yrs)
Last Updated
Feb 7, 2014

Practice Information

Address
18660 GRAPHIC DR
SUITE 100
TINLEY PARK, IL, 604776260
Browse IL providers · Browse ZIP 60477
Phone
7082632000
Fax
7082632024
Primary Specialty
Surgical Physician Assistant
363AS0400X

Other Surgical Physician Assistant Providers in TINLEY PARK, IL

Name Credential NPI
MR. GEORGE J CLOUD JR. OPA-C 1679687164
MRS. COURTNEY ANN SCHMIDT PA-C 1982989687
MR. YOGESH G SUTRAVE RSA 1831474279
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.