EMMETT SMITH NPI 1649694936

NPI Information

  • NPI: 1649694936
  • Provider Name: EMMETT SMITH
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • Address: 18660 GRAPHIC DR
    SUITE 100
    TINLEY PARK, IL
    ZIP 60477
  • Phone: (708) 263-2000

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NPI Details

Emmett Smith is a surgical physician assistant in Tinley Park, IL. Emmett Smith NPI is 1649694936. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

18660 GRAPHIC DR
SUITE 100
TINLEY PARK, IL
ZIP 60477-260
Phone: (708) 263-2000
Fax: (708) 263-2024

The enumeration date for this NPI number is 2/7/2014 and was last updated on 2/7/2014.

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
1363AS0400XPhysician AssistantSurgicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1238000399OTHERILLINOISSURGICAL ASSISTANT

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: 3/30/2025

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