Smith, Shani Kamaria

Smith, Shani Kamaria is an individual health care provider with primary practice located at 3700 W 203Rd St Ste 204 , Olympia Fields IL 60461-1182. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Smith, Shani Kamaria can be contacted via phone (708) 709-6295.

Contact Information

Primary practice address
3700 W 203Rd St Ste 204 Olympia Fields IL 60461-1182
Phone: (708) 709-6295
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036.130820 Illinois
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 036.130820 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036.130820 Illinois

Profile Details

NPI number 1659674240
LBN Legal business name Smith, Shani Kamaria
Credentials D.O., M.B.A.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2010
Last updated Jul 28th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659674240 NPPES
Illinois Other F00280905 MEDICARE IL PTAN

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