Search › Illinois › 1223G0001X
Jerome Mithcell, DDS
NPI 1467609875 · on the registry since 2008
Practice
- Address
- 200 W Front St
Bloomington, IL 61701 - Phone
- (309) 888-5533
- Fax
- (309) 888-5896
- Organisation at this address
- County Of Mclean
County Of Mclean
Collaborative Solutions InstituteInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-08-27
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