Robert Gary Smith

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

043081525 Issued in IL

Practice address

41 58TH St Apt 9C
Clarendon Hills, IL 60514-7621

Phone

(708) 202-8387

NPI assigned

Sep 25, 2026

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1972416394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 58TH ST APT 9C",
            "city": "CLARENDON HILLS",
            "state": "IL",
            "postal_code": "605147621",
            "telephone_number": "708-202-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 58TH ST APT 9C",
            "city": "CLARENDON HILLS",
            "state": "IL",
            "postal_code": "605147621",
            "telephone_number": "708-202-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROBERT",
        "middle_name": "GARY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-25",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IL",
            "license": "043081525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seagate Health Ventures, Inc.
• Iram Shaikh-Abbasi, M.D.
• Weston Shelton, DC
• Simply Home Physical Therapy LLC
• Smile Solutions of Clarendon Hills, LLC
• Sr Global LLC
• Stay Home Physical Therapy
• Amy L Stephens, PTA
• Danijela Stojkovic
• Anthony Surrusco

• Licensed Practical Nurse in Clarendon Hills, IL
• Providers in Clarendon Hills, IL by specialty
• Licensed Practical Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.