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:
Health care specialties
| Specialty | Code | License # | 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 last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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