Jack Smith, L.C.P.C.
Professional Counselor · Orland Park, IL
Practice location
15040 S Ravinia Ave Ste 44Orland Park, IL 60462-3173
- Phone
- (708) 226-1280
- Fax
- (708) 226-5810
NPI record
- NPI
- 1710191564
- Entity type
- Individual (Type 1)
- Enumeration date
- May 10, 2007
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Professional Counselor Primary | 101YP2500X |
— | IL |
About Jack Smith
Jack Smith, L.C.P.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Professional Counselor (code 101YP2500X). The practice location is 15040 S Ravinia Ave Ste 44, Orland Park, IL 60462-3173. The NPI number 1710191564 was assigned on May 10, 2007 and the record was last updated on July 8, 2007.
Frequently asked questions
What is the NPI number of Jack Smith, L.C.P.C.?
The NPI number is 1710191564.
What is the phone number of Jack Smith?
The phone number listed for the practice location is (708) 226-1280.
Where is Jack Smith located?
15040 S Ravinia Ave Ste 44, Orland Park, IL 60462-3173.
What is the taxonomy code for Jack Smith?
The primary taxonomy code is 101YP2500X – Professional Counselor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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