Individual
MR. ERIC SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4610 182ND PL, COUNTRY CLUB HILLS, IL 60478-5037
(708) 262-4564
Mailing address
4610 182ND PL, COUNTRY CLUB HILLS, IL 60478-5037
(708) 262-4564
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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