NPI 1518778117

Theresa Talia Smith

Practitioner Basic Emergency Medical Technician Lake Bluff, IL

Practice location

Address: 122 Baker Rd, Lake Bluff, IL 60044-1424
Phone: (630) 486-7068

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence 060991056 (IL)

Other Emergency Medical Technician, Basic providers in Illinois →

Registry record

NPI: 1518778117
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jan 2025
Record last updated: 14 Jan 2025

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.