Search › Illinois › 1041C0700X
Lakisha Mitchell
NPI 1306663463 · on the registry since 2024 · sole proprietor
Practice
- Address
- 17148 Evans Dr
South Holland, IL 60473 - Phone
- (708) 515-8366
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-09-20
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