Smith, Raven

Smith, Raven is an individual health care provider with primary practice located at 9115 S Cicero Ave Ste 200 , Oak Lawn IL 60453-1771. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Nursing Service Related Providers / Home Health Aide. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Smith, Raven can be contacted via phone (773) 449-0859.

Contact Information

Primary practice address
9115 S Cicero Ave Ste 200 Oak Lawn IL 60453-1771
Phone: (773) 449-0859
Fax: (708) 398-8155
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1043043490
LBN Legal business name Smith, Raven
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2024
Last updated Aug 21st, 2024 - about 2 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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