Search › Illinois › 1223G0001X
Randi Smulson, 019027653
NPI 1780834580 · on the registry since 2008
Practice
- Address
- 1725 W North Ave
Suite 102
Chicago, IL 60622 - Phone
- (773) 227-1048
- Fax
- (773) 227-3218
- Organisation at this address
- Damen North Dental Group Ltd
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-02-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois