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
Phone: (847) 697-7722
Fax: (847) 697-7896
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1588848808 | NPPES |
Illinois | Other | 209-005723 | LICENSE |
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