Smith, Cynthia Susan

Smith, Cynthia Susan is an individual health care provider with primary practice located at 1095 Pingree Rd Suite 108, Crystal Lake IL 60014-1726. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Smith, Cynthia Susan can be contacted via phone (815) 459-6655.

Contact Information

Primary practice address
1095 Pingree Rd Suite 108 Crystal Lake IL 60014-1726
Phone: (815) 459-6655
Fax: (847) 658-9922
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 209-001572 Illinois

Profile Details

NPI number 1134149115
LBN Legal business name Smith, Cynthia Susan
Credentials CNP, ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Aug 24th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134149115 NPPES
Illinois Other 309-001579 IL SUBSCRIBER
Illinois Other 041-291329 IL SUBSCRIBER
Illinois Other 209-001572 IL SUBSCRIBER

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