SearchIllinois1223G0001X

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 Institute
Inferred 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