Individual
HERBERT SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2532 W WARREN BLVD, CHICAGO, IL 60612-2124
(773) 574-6092
(773) 785-2090
Mailing address
22525 ARQUILLA DR, RICHTON PARK, IL 60471-1533
(708) 595-0237
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
—
IL
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/21/2014
Last updated
02/21/2014
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