Healthcare Provider Details

I. General information

NPI: 1760395495
Provider Name (Legal Business Name): HEATHER ELIZABETH SMAIL RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15255 S HARLEM AVE
ORLAND PARK IL
60462-4329
US

IV. Provider business mailing address

16924 82ND AVE
TINLEY PARK IL
60477-2346
US

V. Phone/Fax

Practice location:
  • Phone: 708-226-9200
  • Fax: 888-474-8137
Mailing address:
  • Phone: 708-226-9200
  • Fax: 888-474-8137

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: