Travis R Smith is a Surgical in Westchester, Illinois. Travis R Smith practices all healthcare services and medical treatments related to Surgical. The NPI Number for Travis R Smith is 1619176021. The last update date is 2009-11-24.
Travis R Smith's current location address is 1 Westbrook Corporate Ctr, Westchester, Illinois. You can contact this provider via phone number 7082362673 and fax number 7084925673. The mailing address for Travis R Smith is 1 Westbrook Corporate Ctr, Westchester, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Travis R Smith |
|---|---|
| Address | 1 Westbrook Corporate Ctr, Westchester, Illinois |
| Phone Number | 7082362673 |
| Fax Number | 7084925673 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1619176021 |
|---|---|
| Provider Enumeration Date | 2007-07-16 |
| Last Updated Date | 2009-11-24 |
Provider Mailing Address Detail
| Address | 1 Westbrook Corporate Ctr |
|---|---|
| City | Westchester |
| State | Illinois (IL) |
| Post Code | 601545701 |
| Phone Number | 7082362673 |
| Fax Number | 7084925673 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 85002991 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 209118 | IL | MEDICARE PTAN LOCALITY 15 | |
| 209119 | IL | MEDICARE PTAN LOCALITY 16 |
Post Comment/ Review Below
What is the unique identifier code issued to Travis R Smith by the Centers for Medicare & Medicaid Services?
The Travis R Smith has been assigned the NPI (National Provider Identifier) 1619176021. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Travis R Smith is geographically located?
The Travis R Smith is physically situated at the following location: 1 Westbrook Corporate Ctr, Westchester, IL, 601545701.
What is Travis R Smith's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Travis R Smith is Surgical, and the taxonomy code that categorizes this field of expertise is 363As0400X.
On what date was the 1619176021 assigned to Travis R Smith?
The Travis R Smith was issued its 1619176021 on 2007-07-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Travis R Smith, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Travis R Smith, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-11-24.