Smith, Gabrielle Anne

Smith, Gabrielle Anne is an individual health care provider with primary practice located at 10640 165Th St , Orland Park IL 60467-8734. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Smith, Gabrielle Anne can be contacted via phone (708) 364-0261.

Contact Information

Primary practice address
10640 165Th St Orland Park IL 60467-8734
Phone: (708) 364-0261
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA060282 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085.007783 Illinois

Profile Details

NPI number 1225592264
LBN Legal business name Smith, Gabrielle Anne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2019
Last updated Aug 12th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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