Individual provider · Type 1 NPI

Tiara Diane Smith

Contractor · Chicago, IL

NPI number 1093647067 Active

Practice location

1440 W Taylor St # 236
Chicago, IL 60607-4623

Mailing address

22420 Brookwood Dr
Sauk Village, IL 60411-5810

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XNone listed

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1093647067

Tiara Diane Smith's National Provider Identifier is 1093647067, issued on Jun 2, 2026. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Chicago, IL. The record was last updated on Jun 2, 2026.