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Mitzi Ann Fornes
NPI 1174186878 · on the registry since 2019 · sole proprietor
Practice
- Address
- 10011 Linda Ln Apt 2s
Des Plaines, IL 60016 - Phone
- (916) 280-3259
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-04-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois