Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREMY SMITH
ActiveJEREMY SMITH is a Environmental Modification (OT) healthcare provider located in LAKE FOREST, Illinois. NPI 1184830812 is currently active in the NPPES registry. Verify at CMS.
Environmental Modification (OT) · LAKE FOREST, IL
Registration Details
- NPI Number
- 1184830812
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 16, 2007 (19.257600396044 yrs)
- Last Updated
- Aug 18, 2013
- Licenses
-
096.002695 (IL)070.016666 (IL)
Practice Information
- Address
-
1920 FOOTBALL DRLAKE FOREST, IL, 600454829Browse IL providers · Browse ZIP 60045
- Phone
- 8477395405
- Primary Specialty
-
Environmental Modification (OT)
2251S0007X
- Additional Specialty
- Environmental Modification (OT)
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.