Doctor Name: | JUNE SMALEC |
NPI Number: | 1457611923 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ACNS-BC |
License Number: | 041-288073 |
Business Practice Address: | 15929 S Bell Rd Homer Glen, IL - 604916707 |
Business Phone Number: | 7087455600 |
Business Fax Number: | 8153003778 |
Mailing Address: | 16133 85th Ave, TINLEY PARK |
State: | IL |
Postal Code: | 604877515 |
Phone Number: | 7085322644 |
Fax Number: | |
NPI Enumeration Date: | 05/18/2012 |
NPI Last Update Date: | 03/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SA2200X |
License Number: | 041-288073 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |