SearchIllinois343900000X

Michella Mitchell

NPI 1295505436 · on the registry since 2024 · sole proprietor

Practice

Address
351 Manistee Ave
Calumet City, IL 60409
Phone
(708) 879-1515
Fax
(708) 801-9829

Registry record

Primary taxonomy
343900000X
343900000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-01-08

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