Smith, Keith D.

Smith, Keith D. is an sole proprietor health care provider with primary practice located at 1023 Burlington Ave , Western Springs IL 60558-1516. He recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as his primary health care specialty. Smith, Keith D. can be contacted via phone (708) 745-5277.

Contact Information

Primary practice address
1023 Burlington Ave Western Springs IL 60558-1516
Phone: (708) 745-5277
Fax: (708) 995-3709
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1134626013
LBN Legal business name Smith, Keith D.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2018
Last updated Apr 9th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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