Smith, Jaimee

Smith, Jaimee is an individual health care provider with primary practice located at 9669 Kenton Ave Suite 608, Skokie IL 60076-1266. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Smith, Jaimee can be contacted via phone (847) 677-4111.

Contact Information

Primary practice address
9669 Kenton Ave Suite 608 Skokie IL 60076-1266
Fax: (847) 677-3343
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 209-005388 Illinois

Profile Details

NPI number 1992766786
LBN Legal business name Smith, Jaimee
Credentials APN, C.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Jul 12th, 2019 - about 6 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 1992766786 NPPES
Illinois MEDICAID 209005388

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