Individual
MR. CRAIG D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1306 GEMINI CIR, SUITE 3, OTTAWA, IL 61350-1694
(815) 431-9980
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056003878
IL
Other
Enumeration date
02/24/2010
Last updated
04/29/2011
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