Smus, Sergei

Smus, Sergei is an sole proprietor health care provider with primary practice located at 1546 Barclay Blvd , Buffalo Grove IL 60089-4530. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Smus, Sergei can be contacted via phone (847) 465-8415.

Contact Information

Primary practice address
1546 Barclay Blvd Buffalo Grove IL 60089-4530
Phone: (847) 465-8415
Fax: (847) 465-8608
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X Illinois

Profile Details

NPI number 1487621751
LBN Legal business name Smus, Sergei
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2006
Last updated Jul 8th, 2007 - about 18 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 1487621751 NPPES
Illinois Other 01635656 BLUE CROSS BLUE SHIELD

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