Smith, Juanita Louise

Smith, Juanita Louise is an sole proprietor health care provider with primary practice located at 939 Honey Ln , Crete IL 60417-1329. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Smith, Juanita Louise can be contacted via phone (708) 674-4837.

Contact Information

Primary practice address
939 Honey Ln Crete IL 60417-1329
Phone: (708) 674-4837
Fax: (708) 672-9883
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X 2299795 Illinois

Profile Details

NPI number 1124364963
LBN Legal business name Smith, Juanita Louise
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 26th, 2012
Last updated Dec 26th, 2012 - about 12 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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