DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KEITH D. SMITH

Active Sole Proprietor

MR. KEITH D. SMITH is a Community/Behavioral Health healthcare provider located in WESTERN SPRINGS, Illinois. NPI 1134626013 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · WESTERN SPRINGS, IL

Registration Details

NPI Number
1134626013
Provider Type
Individual
Gender
Male
NPI Issued
Apr 9, 2018 (8.3746221102392 yrs)
Last Updated
Apr 9, 2018
Sole Proprietor
Yes

Practice Information

Address
1023 BURLINGTON AVE
WESTERN SPRINGS, IL, 605581516
Browse IL providers · Browse ZIP 60558
Phone
7087455277
Fax
7089953709
Primary Specialty
Community/Behavioral Health
251S00000X

Other Community/Behavioral Health Providers in WESTERN SPRINGS, IL

Name Credential NPI
THERESA MAROUSEK 1790178994
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.