Individual
TARIK N SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
840 ELDER RD, UNIT 404, HOMEWOOD, IL 60430-2567
(708) 513-1057
Mailing address
840 ELDER RD, UNIT 404, HOMEWOOD, IL 60430-2567
(708) 513-1057
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160006472
IL
Other
Enumeration date
08/09/2013
Last updated
08/09/2013
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