MR. JUSTIN SMITH (NPI# 1154671394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154671394 |
Entity Type | Individual |
Full Name | MR. JUSTIN SMITH |
Credential | RSA-C |
Practice Address |
2104 Elizabeth Ave Zion IL 60099-2731 |
Mailing Address |
3118 James Ave Winthrop Harbor IL 60096-1075 |
Practice Telephone | 8475617460 |
Mailing Telephone | 8475617460 |
Enumeration Date | 2012-09-14 |
Last Update Date | 2012-09-14 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171W00000X | Contractor | 238.000298 | IL | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578034237 | Justin Bengt Smith | Psychologist | 270 E Highway 246, Buellton, CA 93427-9669 | 2018-12-06 |
1851820773 | Justin Michael Smith | Registered Nurse | 333 Smith Ave N # Mr 60229, Saint Paul, MN 55102-2344 | 2017-06-05 |
1841678281 | Justin Smith | Specialist/Technologist | 1088 75th St, Amery, WI 54001-5220 | 2015-05-18 |
1225450984 | Justin L. Smith | Counselor | 100 E Somerset Church Rd, Somerset, KY 42503-4977 | 2014-01-15 |
1598015828 | Justin Smith | Nurse Practitioner | 1113 Church St, Conway, SC 29526-4128 | 2012-09-13 |
1144591306 | Justin Michael Smith | Technician, Other | 1436 S Irving St, Apartment A-321, Denver, CO 80219-3957 | 2012-01-19 |
1992005037 | Justin William Smith | Case Manager/Care Coordinator | 1355 E. Main, Batesville, AR 72501 | 2010-10-22 |
1497061634 | Justin R Smith | Dentist | 2407 Saint Andrews Blvd, Panama City, FL 32405-2170 | 2010-08-25 |
1245556307 | Justin William Smith | Internal Medicine | 273 Winton Blount Loop, Montgomery, AL 36117-3507 | 2010-04-14 |
1366678369 | Justin Adam Smith | Specialist/Technologist | Owens Field House, 135 Jack Branch Drive, Boone, NC 28608-0001 | 2009-06-04 |
Street Address |
2104 ELIZABETH AVE |
City | ZION |
State | IL |
Zip Code | 60099-2731 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265033674 | Ghazala Raheel | Pharmacist | 4000 Route # 173, Zion, IL 60099 | 2020-11-03 |
1295384790 | Loretta Beatrice Colwell | Technician | 3005 Elizabeth Ave, Zion, IL 60099 | 2019-09-06 |
1053893164 | Tea Mohn | Psychologist | 3901 W. 21st Street, Zion, IL 60099 | 2018-09-05 |
1326540808 | Monica Donald | Specialist/Technologist | 2825 Jethro Ct, Zion, IL 60099 | 2018-03-01 |
1265816516 | Igor Wroblewski | Internal Medicine | 2505 26th St, Zion, IL 60099 | 2015-07-16 |
1831432996 | Samuel Harrison Cannon Jr. | Nurse Anesthetist, Certified Registered | 3302 Wembley Dr, Zion, IL 60099 | 2013-03-27 |
1619213618 | Lizel Ann Granada | Nurse Practitioner | 2723 Sheridan Road, Suite C, Zion, IL 60099 | 2012-12-19 |
1194070540 | Shana Marie Pagtalunan Ramirez | Physical Therapist | 2404 Joppa Ave., Zion, IL 60099 | 2012-07-20 |
1962674978 | Zion Benton Children's Service | Dentist | 1608 W 23rd St, Zion, IL 60099 | 2008-03-31 |
1710176110 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 4580 Rt. 173, Zion, IL 60099 | 2007-10-22 |
Find all providers in zip 60099 |
Taxonomy Code | 171W00000X |
Grouping | Other Service Providers |
Classification | Contractor |
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356958607 | Letisha Smith | Contractor | 1921 Michigan City Rd Apt 1e, Calumet City, IL 60409-3724 | 2020-09-29 |
1184249088 | Yanko I Stoykov | Contractor | 1807 W Locust Ln, Mt Prospect, IL 60056-4405 | 2020-06-16 |
1043844293 | S.crider Construction An Supply Corp. | Contractor | 529 Woodbridge Dr., Quincy, IL 62301 | 2020-02-26 |
1245864784 | Kendall Divante Leonard | Contractor | 524 N Roberts Dr Apt 2b, Glenwood, IL 60425-2300 | 2020-02-24 |
1477185379 | Azar Garayev | Contractor | 300 Hudson Ct Apt 106, Wheeling, IL 60090-3184 | 2020-02-07 |
1578031183 | Yesenia Servin | Contractor | 2 Westbrook Corporate Ctr Ste 600, Westchester, IL 60154-5716 | 2018-11-13 |
1194205781 | Anais J Robles | Contractor | 1626 S Allport St, Chicago, IL 60608 | 2018-08-14 |
1225528524 | Tara Rada Nieberding | Contractor | 1701 Quincy Ave Ste 12, Naperville, IL 60540 | 2018-05-14 |
1710482542 | Lanisha Blockmon | Contractor | 8214 S Evans Ave, Chicago, IL 60619-5306 | 2018-03-25 |
1487157913 | Stavone Mcherron | Contractor | 3420 Fountainbleau Dr, Hazel Crest, IL 60429-2257 | 2018-03-12 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.