Smith, Robert

Smith, Robert is an sole proprietor health care provider with primary practice located at 412A S. Taylor Ave , Oak Park IL 60302. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Smith, Robert can be contacted via phone (773) 394-9785.

Contact Information

Primary practice address
412A S. Taylor Ave Oak Park IL 60302
Phone: (773) 394-9785
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Illinois

Profile Details

NPI number 1770010480
LBN Legal business name Smith, Robert
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2017
Last updated May 12th, 2017 - about 8 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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