Individual
MRS. DONRITA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP/L
Contact information
Practice address
150 N SCHMIDT RD, BOLINGBROOK, IL 60440-2689
(630) 759-9300
Mailing address
489 NASSAU AVE, BOLINGBROOK, IL 60440-2133
(630) 739-5575
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.007092
IL
Other
Enumeration date
07/04/2014
Last updated
07/04/2014
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