Provider Demographics
NPI:1104291343
Name:SMILING FACES INC
Entity type:Organization
Organization Name:SMILING FACES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:LANDAVERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-724-1363
Mailing Address - Street 1:5226 W DEMING PL
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60639-1406
Mailing Address - Country:US
Mailing Address - Phone:773-724-1363
Mailing Address - Fax:773-887-5423
Practice Address - Street 1:5226 W DEMING PL
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60639-1406
Practice Address - Country:US
Practice Address - Phone:773-724-1363
Practice Address - Fax:773-887-5423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-12
Last Update Date:2015-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty