Individual
PATRICIA LAWRENCE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3932 172ND ST, COUNTRY CLUB HILLS, IL 60478-4638
(773) 842-5958
(708) 991-7584
Mailing address
3932 172ND ST, COUNTRY CLUB HILLS, IL 60478-4638
(773) 842-5958
(708) 991-7584
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
—
—
347C00000X
Private Vehicle
Primary
S530-6927-0828
IL
Other
Enumeration date
08/26/2016
Last updated
09/27/2023
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