MR. VERNON MICHAEL SMITH APN NPI 1952564551

NPI Information

NPI: 1952564551
Provider Name: MR. VERNON MICHAEL SMITH, APN
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
5500 S DAMEN AVE
CHICAGO, IL
ZIP 60636
Phone: (773) 776-8800
Get Directions

MR. Vernon Michael Smith, APN is a pediatrics nurse practitioner in Chicago, IL. MR. Vernon Michael Smith, APN NPI is 1952564551. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5500 S DAMEN AVE
CHICAGO, IL
ZIP 60636-107
Phone: (773) 776-8800
Fax: (773) 776-8801

The enumeration date for this NPI number is 7/3/2008 and was last updated on 7/3/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	209-000798	ILLINOIS	No
2	363LC1500X	Nurse Practitioner	Community Health	209-000798	ILLINOIS	No
3	363L00000X	Nurse Practitioner		209-000798	ILLINOIS	No
4	363LP0200X	Nurse Practitioner	Pediatrics	209-000798	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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