Individual
BLAIR SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 W HOWARD ST, CHICAGO, IL 60645-1228
(773) 305-6400
Mailing address
2801 W HOWARD ST, CHICAGO, IL 60645-1228
(773) 305-6400
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-483613
IL
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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