| Mr Mark Zachary Smith, LPN | |
|
605 S 19th St, Herrin, IL 62948-2305 | |
| (618) 925-2866 | |
| Not Available |
| Full Name | Mr Mark Zachary Smith |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 605 S 19th St, Herrin, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396982377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 043.105969 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark Zachary Smith, LPN 605 S 19th St, Herrin, IL 62948-2305 Ph: (618) 925-2866 | Mr Mark Zachary Smith, LPN 605 S 19th St, Herrin, IL 62948-2305 Ph: (618) 925-2866 |
Emmy Gael Crain, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 920 N 11th St, Herrin, IL 62948 Phone: 618-203-5882 | |
Mrs. Stephanie Nichole Rafe, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 201 S 17th St, Herrin, IL 62948 Phone: 618-201-8943 Fax: 618-201-8943 | |
Melody Johnson, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3303 Logan Dr, Herrin, IL 62948 Phone: 618-993-5767 | |
Anmarie Holden, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 609 S 14th St, Herrin, IL 62948 Phone: 618-218-8103 | |
Vicki Jo White-barry, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3303 Logan Dr, Herrin, IL 62948 Phone: 618-993-5767 |