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

Mr. Wallace Kent Smith

Individual provider Physical Therapy Assistant · NPI 1134393010

Mr. Wallace Kent Smith is a Physical Therapy Assistant in Glenview, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008

Practice location Address checks out

3703 W Lake Ave Ste 200
Glenview, IL 60026-5823
Phone: (847) 998-1188
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160.000336 (IL)

Record details

NPI number1134393010
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 22, 2008
Last updated in NPPESApril 22, 2008
Mailing address555 W Cornelia Ave, 1906, Chicago, IL 60657-2755

Other providers in Glenview