Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Smith

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1316640485

Jennifer Smith is a Student in an Organized Health Care Education/Training Program in Park Ridge, Illinois. Licensed in Illinois. Registered with an NPI since 2023.

Licensed in
IL
In the registry since
2023
Specialties on file
2

Practice location Address checks out

1775 Ballard Rd
Park Ridge, IL 60068-1005
Phone: (847) 318-9340
Fax: (847) 318-2966
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 125.081626 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1316640485
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 27, 2023
Last updated in NPPESJune 14, 2023
Certification dateJune 14, 2023
Mailing address1775 Ballard Rd, Park Ridge, IL 60068-1005

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