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NPI Code Detail

MEDICARE: NIKEMA T SMITH

MEDICARE:   NIKEMA T SMITH
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
1103K00000XBehavior AnalystIL

General Provider Information

NPI Number : 1871422303
Entity Type Code : Individual
Provider Name (Legal Business Name) : NIKEMA T SMITH
Provider Business Mailing Address
First Line : 1000 N WALLER AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60651-2611
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1000 N WALLER AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60651-2611
Country : US
Telephone Number : 773-790-3461
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2026
Last Update Date : 05/19/2026

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Directions to “ NIKEMA T SMITH ” Practice Location

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