Smith, Shani Kamaria
Smith, Shani Kamaria is an individual health care provider with primary practice located at 3700 W 203Rd St Ste 204 , Olympia Fields IL 60461-1182. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Smith, Shani Kamaria can be contacted via phone (708) 709-6295.Contact Information
Primary practice address
3700 W 203Rd St Ste 204
Olympia Fields IL 60461-1182
Phone: (708) 709-6295
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036.130820 | Illinois |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 036.130820 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036.130820 | Illinois |
Profile Details
| NPI number | 1659674240 |
|---|---|
| LBN Legal business name | Smith, Shani Kamaria |
| Credentials | D.O., M.B.A. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2010 |
| Last updated | Jul 28th, 2021 - about 3 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 | 1659674240 | NPPES |
| Illinois | Other | F00280905 | MEDICARE IL PTAN |
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