Organization Name: | SMARTCAREHUB INC. |
NPI Number: | 1245615467 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GERALD THOMAS GALLOWAY (PRESIDENT) |
Mailing Address: | 1415 W 22nd St Oak Brook |
State: | IL US |
Postal Code: | 605232074 |
Phone Number: | 6306842303 |
Fax Number: | 6306842299 |
NPI Enumeration Date: | 07/29/2015 |
NPI Last Update Date: | 12/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |