Individual
MRS. JILL FAY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
55 FERNDALE RD., DEERFIELD, IL 60015
(847) 754-7053
Mailing address
55 FERNDALE RD, DEERFIELD, IL 60015-5018
(847) 754-7053
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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