Tony Smith

Physician • Lynwood, IL

Deactivated NPI 1437558707 Deactivated in NPPES Male Practitioner

Practice location in NPPES

20064 Lake Lynwood Dr
Lynwood, IL 604111548

Phone: 2197464182

Location details and other listings

Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of December 20, 2021; the reason is not published. The records below are historical. They do not show whether Tony Smith currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date August 22, 2014

NPI Deactivation Date December 20, 2021

NPI Active Period 2014 – 2021

Practice Location & Contact Primary Location

Practice Address

20064 Lake Lynwood Dr

Lynwood, IL 604111548

Telephone 2197464182

Fax 7088959772

Before You Book

Paying without insurance? Prepare a cost-estimate request

Ask about interpreters and office accessibility

What Public CMS Data Show

These CMS figures cover limited populations and published records; they are not quality ratings or medical advice.

Physician: NPPES taxonomy is a reported classification, not proof of board certification.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Lynwood and Illinois

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Non-emergency Medical Transport (VAN) Primary Specialty

NUCC Taxonomy Code: 343900000X

License # reported to NPPES None 343900000X

A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events

⚠️

NPI Profile Deactivated December 20, 2021

NPPES lists this NPI as deactivated as of December 20, 2021; the reason is not published.

✅

NPI Profile Active August 22, 2014

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) August 22, 2014

Registered at 20064 LAKE LYNWOOD DR, LYNWOOD, IL 604111548 (Tel: 2197464182)

📍

Business Mailing Address (Initial Record) August 22, 2014

Registered at 20064 LAKE LYNWOOD DR, LYNWOOD, IL 604111548 (Tel: 2197464182)

👤

Provider Name / Credentials (Initial Record) August 22, 2014

Recorded as TONY SMITH

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2014

Non-emergency Medical Transport (VAN) (license number reported to NPPES: None 343900000X)

🟢

Initial NPI Registration & Enumeration August 22, 2014

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1437558707

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 22, 2014

Last Update: August 22, 2014

Deactivation Date: December 20, 2021

Update or Correct Profile

Mailing Address

20064 Lake Lynwood Dr

Lynwood, IL 604111548

Phone: 2197464182

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.