Individual provider · Type 1 NPI
Emmett Smith Jr.
Surgical Physician Assistant · Tinley Park, IL
NPI number
1649694936
Active
Practice location
18660 Graphic Dr, Suite 100
Tinley Park, IL 60477-6260
Fax (708) 263-2024
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
3 other providers at this address
Other surgical physician assistant providers in Tinley Park
About NPI 1649694936
Emmett Smith Jr.'s National Provider Identifier is 1649694936, issued on Feb 7, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Tinley Park, IL. The record was last updated on Feb 7, 2014.