JACK SMITH L.C.P.C. NPI 1710191564

NPI Information

NPI: 1710191564
Provider Name: JACK SMITH, L.C.P.C.
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
15040 S RAVINIA AVE STE 44
ORLAND PARK, IL
ZIP 60462
Phone: (708) 226-1280
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Jack Smith, L.C.P.C. is a professional counselor in Orland Park, IL. Jack Smith, L.C.P.C. NPI is 1710191564. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

15040 S RAVINIA AVE STE 44
ORLAND PARK, IL
ZIP 60462-173
Phone: (708) 226-1280
Fax: (708) 226-5810

The enumeration date for this NPI number is 5/10/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional		ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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