Michael R Smith
Individual provider Active NPI Naturopath · Plainfield, IL
NPI 1699255877 · NPPES record last updated Aug 17, 2018
Key facts
- NPI
- 1699255877
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Naturopath 175F00000X
- Practice address
- 23501 W Clark St
Plainfield, IL 60586-2321 - Phone
- (815) 954-7439
- NPI assigned
- Aug 17, 2018
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | Yes |
Addresses
Primary practice location
23501 W Clark St
Plainfield, IL 60586-2321
Mailing address
23501 W Clark St
Plainfield, IL 60586-2321
Phone (815) 954-7439
Other providers in Plainfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.