NPI 1033097639

Jack Oscar Reed Smith, PTDPT

Practitioner Physical Therapist Lake Forest, IL

Practice location

Address: 1200 N Westmoreland Rd STE 100, Lake Forest, IL 60045-1601
Phone: (630) 933-1500
Mailing address: 740 Court of Birch APT 6, Vernon Hills, IL 60061-2633

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X

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Registry record

NPI: 1033097639
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Aug 2025
Record last updated: 3 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.