Most Relevant Information
Provider Data
| NPI Number: | 1003698952 |
| Provider Name: | CAPRI SMITH |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 209028445 |
Most Important Dates
| Enumeration Date: | 10/16/2023 |
| Last Updated: | 10/16/2023 |
Provider Practice Location
5730 W ROOSEVELT RD
CHICAGO
IL
606441580
Practice Location Phone/Fax
| Phone: | 7734131700 |
| Fax: |
Provider Mailing Location
5730 W ROOSEVELT RD
CHICAGO
IL
606441580
Provider Mailing Phone/Fax
| Phone: | 7734131700 |
| Fax: |