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EMMETT SMITH JR.
NPI 1649694936
Physician Assistant - Surgical in Tinley Park, IL

Active since February 07, 2014
18660 GRAPHIC DR, SUITE 100, TINLEY PARK, IL 60477(708) 263-2000(708) 263-2024 Get Directions Write a Review

NPPES record last updated: February 7, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Emmett Smith Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMMETT SMITH JR. (NPI 1649694936) is an individual surgical provider in Tinley Park, Illinois and active in the NPI registry since February 2014.

NPPES Registry Identity

NPI1649694936
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameEMMETT SMITH JR.
Location Address18660 GRAPHIC DR, SUITE 100Tinley Park, IL 60477-6260
Mailing Address18660 Graphic Dr, Suite 100Tinley Park, IL 60477-6260 · (708) 263-2000 · Fax (708) 263-2024
Phone(708) 263-2000
Fax(708) 263-2024
Sole ProprietorNo
Enumeration DateFebruary 7, 2014
✔ NPI 1649694936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
18660 GRAPHIC DR, Tinley Park, IL 60477
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Other Identifiers 1

Other238000399IL · Surgical Assistant

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. WILLIAM JAMES SULLIVAN ATC
Specialist/Technologist (Athletic Trainer)
18660 GRAPHIC DR
TINLEY PARK, IL 60477
Cook County (708) 686-1100
TINLEY PARK OPEN MRI & IMAGING CENTER LTD
Clinic/Center (Magnetic Resonance Imaging (MRI))
18660 GRAPHIC DR, SUITE 101
TINLEY PARK, IL 60477
Cook County (708) 381-5422
SUBURBAN SURGICAL FACILITY
Clinic/Center (Ambulatory Surgical)
18660 GRAPHIC DR, STE 100
TINLEY PARK, IL 60477
Cook County (630) 810-0451

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emmett Smith's NPI number?

The NPI number for Emmett Smith is 1649694936. It was assigned to this individual provider in the NPPES registry on February 7, 2014.

Where is Emmett Smith located?

Emmett Smith practices at 18660 Graphic Dr Suite 100, Tinley Park, IL 60477. The listed phone number is (708) 263-2000.

What is Emmett Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Emmett Smith was last updated on February 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.