Robert Gary Smith, is a
Licensed Practical Nurse based in Clarendon Hills, Illinois. Robert Gary Smith is licensed to practice in Illinois (license number 043081525) and his current practice location is
41 58th St Apt 9c, Clarendon Hills, Illinois. He can be reached at his office (for appointments etc.) via phone at
(708) 202-8387.
NPI number for Robert Gary Smith is 1972416394 and his current mailing address is 41 58th St Apt 9c, Clarendon Hills, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972416394.
Provider's Profile
| Full Name | Robert Gary Smith |
|---|
| Gender | Male |
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| Speciality | Licensed Practical Nurse |
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| Location | 41 58th St Apt 9c, Clarendon Hills, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1972416394
- Provider Enumeration Date: 09/25/2026
- Last Update Date: 09/25/2026
Medical Identifiers
Medical identifiers for Robert Gary Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1972416394 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164W00000X | Licensed Practical Nurse | 043081525 (Illinois) | 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. Robert Gary Smith 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 Address | Practice Location Address |
Robert Gary Smith, 41 58th St Apt 9c, Clarendon Hills, IL 60514-7621 Ph: (708) 202-8387 | Robert Gary Smith, 41 58th St Apt 9c, Clarendon Hills, IL 60514-7621 Ph: (708) 202-8387 |
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