Individual
MR. SCOTT B SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COMS, CLVT
Contact information
Practice address
5TH AVE & ROOSEVELT ROAD, BUILDING 113 (124), HINES, IL 60141-5000
(708) 202-2122
(708) 202-7949
Mailing address
5TH AVE & ROOSEVELT ROAD, BUILDING 113 (124), HINES, IL 60141-5000
Taxonomy
Speciality
Code
Description
License number
State
2255R0406X
Blind Rehabilitation Specialist/Technologist
Primary
—
—
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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