Provider Demographics
NPI:1780023549
Name:SMOLINSKI, CLAIRE MARIE (LMT)
Entity type:Individual
Prefix:MRS
First Name:CLAIRE
Middle Name:MARIE
Last Name:SMOLINSKI
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:MISS
Other - First Name:CLAIRE
Other - Middle Name:MARIE
Other - Last Name:DAVY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:4015 LIBERTY BLVD
Mailing Address - Street 2:
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-1331
Mailing Address - Country:US
Mailing Address - Phone:630-272-7915
Mailing Address - Fax:630-653-2220
Practice Address - Street 1:4513 LINCOLN AVE
Practice Address - Street 2:SUITE 203B
Practice Address - City:LISLE
Practice Address - State:IL
Practice Address - Zip Code:60532
Practice Address - Country:US
Practice Address - Phone:630-272-7915
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-14
Last Update Date:2024-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL227.006378225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist