| Doctor Name: | MR. ROBERT T. SMITH |
| NPI Number: | 1306899778 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW |
| License Number: | |
| Business Practice Address: | 14 Horseshoe Ln Lemont, IL - 604399115 |
| Business Phone Number: | 6302571445 |
| Business Fax Number: | |
| Mailing Address: | 5th Avenue Roosevelt Road, HINES |
| State: | IL |
| Postal Code: | 60141 |
| Phone Number: | 7082028387 |
| Fax Number: | 7082022024 |
| NPI Enumeration Date: | 05/18/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |