MR. KURTIS MICHAEL SMITH (NPI# 1053891929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053891929 |
| Entity Type | Individual |
| Full Name | MR. KURTIS MICHAEL SMITH |
| Credential | M.A. QMHP |
| Practice Address |
8707 Skokie Blvd Skokie IL 60077-2269 |
| Practice Telephone | 8476738577 |
| Mailing Telephone | 8476738577 |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2018-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326475476 | Kurtis Russell Smith | Nurse Practitioner | 2086 N 1700 W, Suite C, Layton, UT 84041-1164 | 2013-10-03 |
| 1811911803 | Kurtis Andrew Smith | Internal Medicine | 4646 John R St, Detroit, MI 48201-1916 | 2006-07-26 |
| Street Address |
8707 SKOKIE BLVD |
| City | SKOKIE |
| State | IL |
| Zip Code | 60077-2269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306805593 | Elizabeth K Chung | Obstetrics & Gynecology | 8707 Skokie Blvd, Suite 216, Skokie, IL 60077-2269 | 2006-03-17 |
| 1235602707 | Twin Cities Tms LLC | Psychiatry & Neurology | 8707 Skokie Blvd, Suite 207, Skokie, IL 60077 | 2019-01-08 |
| 1477034239 | Kelly Patricia Dale | Occupational Therapist | 8707 Skokie Blvd, Skokie, IL 60077-2269 | 2018-08-28 |
| 1013498260 | Mikhail Gurovich | Counselor | 8707 Skokie Blvd, Skokie, IL 60077-2269 | 2018-08-26 |
| 1659851673 | Bianca Gambino | Counselor | 8707 Skokie Blvd, Skokie, IL 60077-2269 | 2018-08-20 |
| 1710486436 | Theresa Marie Buch | Counselor | 8707 Skokie Blvd, Skokie, IL 60077-2269 | 2018-02-08 |
| 1720511611 | Lucien Izraylov | Counselor | 8707 Skokie Blvd, 207, Skokie, IL 60077-2269 | 2017-04-06 |
| 1629500533 | Katrina Lidik | Counselor | 8707 Skokie Blvd, 207, Skokie, IL 60077-2269 | 2017-03-30 |
| 1730611765 | Jessica Marie Miller | Counselor | 8707 Skokie Blvd, Suite 207, Skokie, IL 60077-2269 | 2017-03-29 |
| 1831621846 | Catherine Rehberger | Counselor | 8707 Skokie Blvd, Suite 207, Skokie, IL 60077-2269 | 2017-03-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835347 | Tharani Theivakumar | Dentist | 5225 W. Touhy Ave, Skokie, IL 60077 | 2019-08-09 |
| 1780179838 | Total Renal Care Inc | Clinic/Center | 8950 Gross Point Rd Ste 300, Skokie, IL 60077 | 2018-06-29 |
| 1811481070 | Joseph Rubin | Counselor | 7929 Lincoln Ave Ste 202, Skokie, IL 60077 | 2018-06-20 |
| 1245721067 | Lipnick Orthopaedics S.c. | Orthopaedic Surgery | 4856 Oakton Street, Skokie, IL 60077 | 2018-05-29 |
| 1376034991 | Karen Bradley | Nurse Practitioner | 5143 Coyle Ave, Skokie, IL 60077 | 2018-05-21 |
| 1093217036 | Arnold Arellano | Pedorthist | 5202 Old Orchard Road, N100, Skokie, IL 60077 | 2018-03-06 |
| 1043722408 | Carolyn Mary Jarozewski I | Registered Nurse | 5250 N.old Orchard Road Suite 300, 5250 N.old Orchard Road Suite 300, Skokie, IL 60077 | 2017-10-25 |
| 1841718400 | Katie Kluga | Nurse Practitioner | 9977 Woods Drive Suite 300, Skokie, IL 60077 | 2017-09-05 |
| 1265950091 | Larry Asher Sidel | Counselor | 9530 Lamon Pl.apt 110, Skokie, IL 60077 | 2017-08-31 |
| 1578088639 | Eleni Toumplis | Pharmacist | 4955 Dempster St, Skokie, IL 60077 | 2017-08-10 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457971129 | Sana Sultana | Student in an Organized Health Care Education/Training Program | 4214 Main St, Skokie, IL 60076-2047 | 2020-04-22 |
| 1255718037 | Tara Afsar Ali | Student in an Organized Health Care Education/Training Program | 5300 Lee St, Skokie, IL 60077-5102 | 2015-04-30 |
| 1003431180 | Laura K Woitas | Student in an Organized Health Care Education/Training Program | 8707 Skokie Blvd Ste 207, Skokie, IL 60077-2272 | 2020-06-14 |
| 1326596677 | Hannah Rosenbaum | Student in an Organized Health Care Education/Training Program | 8324 Skokie Blvd, Skokie, IL 60077-2545 | 2016-09-15 |
| 1699935817 | Maaza Girma G-amlak | Student in an Organized Health Care Education/Training Program | 4425 Madison St, Skokie, IL 60076-2627 | 2008-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720436 | April Renee Gallik | Student in an Organized Health Care Education/Training Program | 8807 S 79th Ave Apt 18, Hickory Hills, IL 60457-1597 | 2020-11-03 |
| 1932709706 | Samantha Klosak | Student in an Organized Health Care Education/Training Program | 8144 Old Mill Rd, Frankfort, IL 60423-8675 | 2020-10-29 |
| 1508466624 | Carly Belle Mitchell | Student in an Organized Health Care Education/Training Program | 870 Appletree Ct, Northbrook, IL 60062-3402 | 2020-10-28 |
| 1144829813 | Payton Collins | Student in an Organized Health Care Education/Training Program | 5103 S Brookstone Dr, Rochelle, IL 61068-9131 | 2020-10-22 |
| 1821697830 | Mayuri Prashant Shende | Student in an Organized Health Care Education/Training Program | 2160 S. First Ave., Bldg. 105, Suite 2840a, Marywood, IL 60135 | 2020-10-21 |
| 1922607001 | Katherine Chen | Student in an Organized Health Care Education/Training Program | 2305 Mohawk Ln, Glenview, IL 60026-1035 | 2020-10-20 |
| 1922606995 | Cassia Yuechun Weigel | Student in an Organized Health Care Education/Training Program | 601 N Main St Apt 5s, Normal, IL 61761-1576 | 2020-10-13 |
| 1679171888 | Manuel J Ramirez | Student in an Organized Health Care Education/Training Program | 714 W Woodland Rd, Lake Bluff, IL 60044-1652 | 2020-10-12 |
| 1205443975 | Nickolas Armstrong | Student in an Organized Health Care Education/Training Program | 2828 N Pine Grove Ave Apt 618, Chicago, IL 60657-6137 | 2020-09-28 |
| 1871109496 | Morgan Elizabeth Westjohn | Student in an Organized Health Care Education/Training Program | 111 Mound St, Sainte Marie, IL 62459 | 2020-09-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.