MR. WALLACE KENT SMITH
Restorative Service Providers at Lake Ave, Glenview, IL

License number
Illinois 160.000336
Category
Restorative Service Providers
Type
Physical Therapy Assistant
Address
Address 2
3703 W Lake Ave SUITE 200, Glenview, IL 60026
555 W Cornelia Ave #1906, Chicago, IL 60657
Phone
(847) 998-1188
National Provider ID: 1134393010
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Wallace Smith
555 W Cornelia Ave APT 511, Chicago, IL 60657
(773) 750-3163
Wallace Smith
3657 Kennedy Dr, East Moline, IL 61244
(309) 261-0612

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