Emmett Smith Jr, - Physician Assistant in Tinley Park, IL

Emmett Smith Jr, is a Physician Assistant - Surgical based in Tinley Park, Illinois. Emmett Smith Jr is licensed to practice in * (Not Available) (license number ) and her current practice location is 18660 Graphic Dr, Suite 100, Tinley Park, Illinois. She can be reached at her office (for appointments etc.) via phone at (708) 263-2000.

NPI number for Emmett Smith Jr is 1649694936 and her current mailing address is 18660 Graphic Dr, Suite 100, Tinley Park, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649694936.

Contact Information

Emmett Smith Jr,
18660 Graphic Dr, Suite 100,
Tinley Park, IL 60477-6260
(708) 263-2000
(708) 263-2024

Map and Direction




Provider's Profile

Full NameEmmett Smith Jr
GenderFemale
SpecialityPhysician Assistant - Surgical
Location18660 Graphic Dr, Tinley Park, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1649694936
  • Provider Enumeration Date: 02/07/2014
  • Last Update Date: 02/07/2014

Medical Identifiers

Medical identifiers for Emmett Smith Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649694936NPI-NPPES
238000399OtherILSURGICAL ASSISTANT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Emmett Smith Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Emmett Smith Jr,
18660 Graphic Dr, Suite 100,
Tinley Park, IL 60477-6260

Ph: (708) 263-2000
Emmett Smith Jr,
18660 Graphic Dr, Suite 100,
Tinley Park, IL 60477-6260

Ph: (708) 263-2000

Reviews and Comments


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