NPI 1780882472
Michael R Smalara, MTASCP
Practice location
- Address
- 5th Ave and Roosevelt Rd Edward Hines Jr Hospital, Hines, IL 60141-5000
- Phone
- (708) 202-8387
- Mailing address
- 9338 Bayberry Ln, Tinley Park, IL 60487
Registered specialties
Medical Technologist
Primary
Registry record
- NPI
- 1780882472
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 5 Jul 2007
- Record last updated
- 8 Jul 2007
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.