Jamil Akeem Smart

Nurse Practitioner · Park Ridge, IL

Individual Active NPI

NPI number 1588360861

Practice location

1775 Dempster St
Park Ridge, IL 60068-1143
Phone
(414) 647-3492

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NPI record

NPI
1588360861
Entity type
Individual (Type 1)
Enumeration date
February 7, 2023
Last updated
July 27, 2023
Certified
July 26, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 209-027259 IL
Oncology Registered Nurse 163WX0200X 041455486 IL

Mailing address

29373 Network Pl
Chicago, IL 60673-1293
Phone
(847) 390-5900

Other practice locations (1)

  • 9831 S Western Ave, Chicago, IL 60643-1740 · (773) 445-3500

About Jamil Smart

Jamil Akeem Smart is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 1775 Dempster St, Park Ridge, IL 60068-1143. The NPI number 1588360861 was assigned on February 7, 2023 and the record was last updated on July 27, 2023.

Jamil Smart lists 2 licenses in the registry: #209-027259 (IL) for Nurse Practitioner; #041455486 (IL) for Oncology Registered Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jamil Akeem Smart?

The NPI number is 1588360861.

What is the phone number of Jamil Smart?

The phone number listed for the practice location is (414) 647-3492.

Where is Jamil Smart located?

1775 Dempster St, Park Ridge, IL 60068-1143.

What is the taxonomy code for Jamil Smart?

The primary taxonomy code is 363L00000X – Nurse Practitioner; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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