Smith, Michael Charles

Smith, Michael Charles is an sole proprietor health care provider with primary practice located at 210 W 22Nd St Suite 119, Oak Brook IL 60523-1544. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Smith, Michael Charles can be contacted via phone (630) 574-9084.

Contact Information

Primary practice address
210 W 22Nd St Suite 119 Oak Brook IL 60523-1544
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X Illinois

Profile Details

NPI number 1215062419
LBN Legal business name Smith, Michael Charles
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2007
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers