Smith, Diane

Smith, Diane is an individual health care provider with primary practice located at 1435 N Randall Rd Suite 304, Elgin IL 60123-2306. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Smith, Diane can be contacted via phone (847) 697-7722.

Contact Information

Primary practice address
1435 N Randall Rd Suite 304 Elgin IL 60123-2306
Fax: (847) 697-7896
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 209-005723 Illinois

Profile Details

NPI number 1588848808
LBN Legal business name Smith, Diane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2007
Last updated Sep 17th, 2012 - about 13 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 1588848808 NPPES
Illinois Other 209-005723 LICENSE

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