Individual
MR. KEITH D. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1023 BURLINGTON AVE, WESTERN SPRINGS, IL 60558-1516
(708) 745-5277
(708) 995-3709
Mailing address
1023 BURLINGTON AVE, WESTERN SPRINGS, IL 60558-1516
(708) 745-5277
(708) 995-3709
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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