NPI 1184581159
Shannon Smothers-Wansley
Practice location
- Address
- 5000 S 5th Ave, Hines, IL 60141-3030
- Phone
- (708) 202-8387
- Mailing address
- 3205 Saint Charles Rd APT 1, Bellwood, IL 60104-1574
Registered specialties
Medical Technologist
Primary
Registry record
- NPI
- 1184581159
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 Jan 2026
- Record last updated
- 12 Jan 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.