MEDICARE: SMILING FACES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1104291343
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMILING FACES INC

Provider Business Mailing Address
First Line	:	5226 W DEMING PL
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60639-1406
Country	:	US
Telephone Number	:	773-724-1363
Fax Number	:	773-887-5423

Provider Business Practice Location Address
First Line	:	5226 W DEMING PL
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60639-1406
Country	:	US
Telephone Number	:	773-724-1363
Fax Number	:	773-887-5423

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. ANNA LANDAVERRY
Credential	:
Telephone Number	:	773-724-1363

Provider Enumeration Date	:	12/12/2015
Last Update Date	:	12/12/2015

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Directions to “SMILING FACES INC ” Practice Location

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