Individual
MARGO SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
381 S 4TH AVE, KANKAKEE, IL 60901-3607
(815) 401-5671
Mailing address
381 S 4TH AVE, KANKAKEE, IL 60901-3607
(815) 401-5671
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
01/09/2026
Last updated
01/09/2026
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