JACK SMITH

ORLAND PARK, IL
NPI1710191564
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: IL  180005924)
Enumeration Date2007-05-10
Last Update Date2007-07-08
Business Address
-- JACK SMITH L.C.P.C.
15040 S RAVINIA AVE STE 44
ORLAND PARK, IL 60462-3173
Phone number: 708-226-1280
Mailing Address
-- JACK SMITH L.C.P.C.
15040 S RAVINIA AVE STE 44
ORLAND PARK, IL 60462-3173
Phone number: 708-226-1280
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